NPIMap

Organization Active NPI

Marshall Pharmacy Inc.

  • Clinic Pharmacy
  • Huntington, WV
National Provider Identifier
1124471644
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
MARSHALL PHARMACY INC.
Practice address
1600 Medical Center Drive
Huntington, WV 25701-3655
Phone
(304) 691-6879
Fax
(304) 205-1844
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Ryan Atkinson
Title
Sr. Dir. Pharmacy Payer Contracting
Phone
(806) 242-7782

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X OP0552218 WV
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1600 Medical Center Drive
Huntington, WV 25701-3655

Mailing address

320 S. Polk Street
Suite 800
Amarillo, TX 79101-1429
Phone (806) 242-7782

Other identifiers 1

IdentifierTypeStateIssuer
2162083OtherPK

Other names 1

  • Marshall Pharmacy Discharge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University Family Pract18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1124471644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S. POLK STREET",
            "address_2": "SUITE 800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791011429",
            "telephone_number": "806-242-7782",
            "fax_number": "806-324-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013655",
            "telephone_number": "304-691-6879",
            "fax_number": "304-205-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "SR. DIR. PHARMACY PAYER CONTRACTING",
        "authorized_official_telephone_number": "806-242-7782"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WV",
            "license": "OP0552218",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Pharmacy Discharge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall Pharmacy Discharge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.