Organization Active NPI

Mtwelcome Pharmacy Princesse

  • Community/Retail Pharmacy
  • Christiansted, VI
National Provider Identifier
1033575592
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-13924-3L Issued in VI
Legal business name
MTWELCOME PHARMACY PRINCESSE
Practice address
4040 La Grande Princess
Christiansted, VI 00820
Phone
(340) 719-7979
Fax
(340) 713-3118
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronnie Harvey
Title
Pharmacist
Phone
(540) 890-3409

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-13924-3L VI Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4040 La Grande Princess
Christiansted, VI 00820

Mailing address

4040 Estate la Grande Princess
Christiansted, VI 00820-5165
Phone (340) 719-7979

Other identifiers 2

IdentifierTypeStateIssuer
2157468OtherPK
1262MedicaidVI

Other names 1

  • MT Welcome Pharmacy Princesse Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mt Welcome Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4040 Estate La Grande Princesse
Christiansted, VI 00820
Phone (340) 718-5683

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1033575592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ESTATE LA GRANDE PRINCESS",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205165",
            "telephone_number": "340-719-7979",
            "fax_number": "340-713-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 LA GRANDE PRINCESS",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-719-7979",
            "fax_number": "340-713-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTWELCOME PHARMACY PRINCESSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "540-890-3409"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VI",
            "license": "2-13924-3L",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157468",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1262",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT Welcome Pharmacy Princesse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.