Organization Active NPI

Fruth Pharmacy of Ohio Inc

Doing business as Fruth Pharmacy 27

  • Community/Retail Pharmacy
  • Ironton, OH
National Provider Identifier
1174864011
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-2289750 Issued in OH
Legal business name
FRUTH PHARMACY OF OHIO INC
Doing business as
Fruth Pharmacy 27
Practice address
1848 State Route 141
Ironton, OH 45638-5213
Phone
(740) 532-7943
Fax
(740) 532-8555
NPI assigned
Mar 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Mary Harris
Title
Managed Care Adm
Phone
(304) 675-1612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-2289750 OH Primary

Addresses

Primary practice location

1848 State Route 141
Ironton, OH 45638-5213

Mailing address

Fruth Corporate Offices
4016 Ohio River Road
Point Pleasant, WV 25550
Phone (304) 675-1612

Other identifiers 2

IdentifierTypeStateIssuer
2139332OtherPK
0080913MedicaidOH

Other names 1

  • FRUTH PHARMACY 27 Doing business as

National Provider Directory

National Provider Directory

Locations

1848 State Route 141
Ironton, OH 45638
Phone (740) 533-9215

4016 Ohio River Rd
Ofc
Point Pleasant, WV 25550

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1174864011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRUTH CORPORATE OFFICES",
            "address_2": "4016 OHIO RIVER ROAD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-1612",
            "fax_number": "304-675-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 STATE ROUTE 141",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456385213",
            "telephone_number": "740-532-7943",
            "fax_number": "740-532-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUTH PHARMACY OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGED CARE ADM",
        "authorized_official_telephone_number": "304-675-1612"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-2289750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139332",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080913",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRUTH PHARMACY 27",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.