NPIMap

Organization Active NPI

Pattersons Drug Store

  • Pharmacist
  • Inwood, WV
National Provider Identifier
1174600696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
MP0550937 Issued in WV
Legal business name
PATTERSONS DRUG STORE
Practice address
115 Hovatter Dr
Inwood, WV 25428
Phone
(304) 229-2929
Fax
(304) 229-0618
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George Karos, RPH
Title
Owner
Phone
(304) 229-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X MP0550937 WV Primary

Addresses

Primary practice location

115 Hovatter Dr
Inwood, WV 25428

Mailing address

PO Box 339
Inwood, WV 25428
Phone (304) 229-2929

Other identifiers 2

IdentifierTypeStateIssuer
5007934OtherNABP
0143968000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Patterson's Drug Store3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

115 Hovatter Dr
Inwood, WV 25428
Phone (304) 229-2929

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174600696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "25428",
            "telephone_number": "304-229-2929",
            "fax_number": "304-229-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HOVATTER DR",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "25428",
            "telephone_number": "304-229-2929",
            "fax_number": "304-229-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSONS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAROS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-229-2929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "MP0550937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5007934",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143968000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.