NPIMap

Organization Active NPI

Anile Pharmacy Inc

  • Community/Retail Pharmacy
  • Weirton, WV
National Provider Identifier
1124030366
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0550004 Issued in WV
Legal business name
ANILE PHARMACY INC
Practice address
2413 Pennsylvania Ave
Weirton, WV 26062-3632
Phone
(304) 723-1818
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Diana Sikora, RPHNPI 1992244818
Title
Pic and Coowner
Phone
(304) 723-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0550004 WV Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2413 Pennsylvania Ave
Weirton, WV 26062-3632

Mailing address

2413 Pennsylvania Ave
Weirton, WV 26062-3632
Phone (304) 723-1818

Other identifiers 2

IdentifierTypeStateIssuer
5003760OtherOTHER ID NUMBER
0139971000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930002618 WV DME Supplier - Pharmacy 8527188234 Practice locations: Weirton, WV
O20130719000607 WV Part B Supplier - Mass Immunization (Roster Biller Only) 8527188234 Practice locations: Weirton, WV

National Provider Directory

National Provider Directory
Tax ID family
Anile Long Term Care Pharmacy2 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

2413 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 723-1818

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1124030366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623632",
            "telephone_number": "304-723-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623632",
            "telephone_number": "304-723-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANILE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "SIKORA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PIC AND COOWNER",
        "authorized_official_telephone_number": "304-723-1818",
        "authorized_official_credential": "RPH"
    },
    "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": "SP0550004",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5003760",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139971000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.