Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550190 Issued in WV

Legal business name

PROFESSIONAL PHARMACY INC

Doing business as

CARRIAGE DRIVE PHARMACY INC

Practice address

350 Carriage Dr
Beckley, WV 25801-2812

Phone

(304) 252-5349

Fax

(304) 252-5386

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

W Kluesner

Title

President Owner Pic

Phone

(304) 252-5349

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CARRIAGE DRIVE PHARMACY INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Gail Shrewsberry, PHARMD

  • Pharmacist
  • Beckley, WV
  • NPI 1649611732
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1053418897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012812",
            "telephone_number": "304-252-5349",
            "fax_number": "304-252-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012812",
            "telephone_number": "304-252-5349",
            "fax_number": "304-252-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "KLUESNER",
        "authorized_official_first_name": "W",
        "authorized_official_title_or_position": "PRESIDENT OWNER PIC",
        "authorized_official_telephone_number": "304-252-5349"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140316000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110369",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARRIAGE DRIVE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonya Gail Price
• Primary Care Consultants
• Priority Medical Claims
• Mintie Pritchard, PA-C
• Professional Medical Ultrasonics Inc.
• Tamara Provost
• Joshua Pruden, DDS
• Jessica Prue
• Melinda Sue Pruitt, RN
• Psychological Services, Inc.

• Community/Retail Pharmacy in Beckley, WV
• Providers in Beckley, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.