Eagle Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EAGLE PHARMACY LLC

Practice address

4216 Maccorkle Ave SE Ste 5
Charleston, WV 25304-2539

Phone

(681) 265-5151

Fax

(681) 265-5153

NPI assigned

Jun 8, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jite Voke Urhie, PHARMACIST

Title

Pharmacist in Charge/Owner

Phone

(304) 521-7848

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EAGLE PHARMACY LLC Doing business as

Electronic endpoints 3

Locations

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559952000000",
    "number": "1134788649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 MACCORKLE AVE SE STE 5",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042539",
            "telephone_number": "681-265-5151",
            "fax_number": "681-265-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 MACCORKLE AVE SE STE 5",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042539",
            "telephone_number": "681-265-5151",
            "fax_number": "681-265-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-06-08",
        "status": "A",
        "authorized_official_last_name": "URHIE",
        "authorized_official_first_name": "JITE",
        "authorized_official_middle_name": "VOKE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "304-521-7848",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "OTHER",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OTHER",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "4216 MacCorkle Ave SE Ste 5",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253042539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "4216 MacCorkle Ave SE Ste 5",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253042539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "4216 MacCorkle Ave SE Ste 5",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253042539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EAGLE PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Charleston, WV
• Providers in Charleston, 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 Jun 8, 2019; 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.