NPIMap

Organization Active NPI

City Pharmacy

  • Community/Retail Pharmacy
  • Martinsburg, WV
National Provider Identifier
1043533003
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27178989 Issued in WV
Legal business name
CITY PHARMACY
Doing business as
City Pharmacy
Practice address
970 Foxcroft Ave
Suite 101
Martinsburg, WV 25401-1835
Phone
(304) 262-6555
Fax
(304) 262-6599
NPI assigned
Mar 4, 2010
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. David M Wasanyi, PHARM.DNPI 1093830309
Title
Pharmacist
Phone
(540) 327-6140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27178989 WV Primary

Addresses

Primary practice location

970 Foxcroft Ave
Suite 101
Martinsburg, WV 25401-1835

Mailing address

970 Foxcroft Ave
Suite 101
Martinsburg, WV 25401-1835
Phone (304) 262-6555

Other identifiers 2

IdentifierTypeStateIssuer
FV96311OtherMEDICARE PTAN
3810017469MedicaidWV

Other names 1

  • City Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1043533003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 FOXCROFT AVE",
            "address_2": "SUITE 101",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011835",
            "telephone_number": "304-262-6555",
            "fax_number": "304-262-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 FOXCROFT AVE",
            "address_2": "SUITE 101",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011835",
            "telephone_number": "304-262-6555",
            "fax_number": "304-262-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "WASANYI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "540-327-6140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "27178989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "FV96311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810017469",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.