NPIMap

Organization Active NPI

Pharmacy Associates, Inc

  • Durable Medical Equipment & Medical Supplies
  • South Charleston, WV
National Provider Identifier
1093813263
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2007011092 Issued in WV
Legal business name
PHARMACY ASSOCIATES, INC
Practice address
4501 Maccorkle Ave SW Ste 101
South Charleston, WV 25309-1444
Phone
(800) 815-7540
Fax
(304) 766-9301
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mrs. Anita Christine Roberts, CPHT
Title
Specialty Pharmacy Operations Manag
Phone
(304) 529-2143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2007011092 WV Primary

Addresses

Primary practice location

4501 Maccorkle Ave SW Ste 101
South Charleston, WV 25309-1444

Mailing address

4501 Maccorkle Ave SW Ste 101
South Charleston, WV 25309-1444
Phone (800) 815-7540

Other identifiers 3

IdentifierTypeStateIssuer
0144228002MedicaidWV
90269044MedicaidKY
0670939MedicaidOH

Other names 1

  • CompreCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Option Care Huntington7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1093813263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW STE 101",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "800-815-7540",
            "fax_number": "304-766-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW STE 101",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "800-815-7540",
            "fax_number": "304-766-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "SPECIALTY PHARMACY OPERATIONS MANAG",
        "authorized_official_telephone_number": "304-529-2143",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "2007011092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144228002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90269044",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CompreCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.