Active NPI
Charlies Pharmacy Inc
- Community/Retail Pharmacy
- Mullens, WV
National Provider Identifier
1164515599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CHARLIES PHARMACY INC
- Practice address
- 224 Howard Ave
Mullens, WV 25882-1421 - Phone
- (304) 294-5447
- Fax
- (304) 294-5314
- NPI assigned
- Sep 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eva Burns, RPH
- Title
- Pres
- Phone
- (304) 294-5447
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | SP0550878 | WV | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
224 Howard Ave
Mullens, WV 25882-1421
Mailing address
PO Box 788
Mullens, WV 25882-0788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5007580 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0143624000 | Medicaid | WV |
Other names 1
- CHARLIES PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Charlies Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Pineville, WV
- NPI 1003909227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1164515599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "MULLENS",
"state": "WV",
"postal_code": "258820788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 HOWARD AVE",
"city": "MULLENS",
"state": "WV",
"postal_code": "258821421",
"telephone_number": "304-294-5447",
"fax_number": "304-294-5314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLIES PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "304-294-5447",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WV",
"license": "SP0550878",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5007580",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143624000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHARLIES PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mullens, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.