Organization Active NPI

City Pharmacy of Charles Town, Inc

  • Community/Retail Pharmacy
  • Charles Town, WV
National Provider Identifier
1194127696
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CITY PHARMACY OF CHARLES TOWN, INC
Doing business as
CITY PHARMACY OF CHARLES TOWN, INC
Practice address
82 Somerset Blvd
Charles Town, WV 25414-4827
Phone
(540) 327-6140
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. David Musisi Wasanyi, PHARM.D
Title
Vice President
Phone
(540) 327-6140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

82 Somerset Blvd
Charles Town, WV 25414-4827

Mailing address

82 Somerset Blvd
Charles Town, WV 25414-4827
Phone (540) 327-6140

Other names 1

  • CITY PHARMACY OF CHARLES TOWN, INC Doing business as

National Provider Directory

National Provider Directory

Locations

82 Somerset Blvd
Charles Town, WV 25414
Phone (540) 327-6140

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1194127696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SOMERSET BLVD",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144827",
            "telephone_number": "540-327-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SOMERSET BLVD",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144827",
            "telephone_number": "540-327-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PHARMACY OF CHARLES TOWN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "WASANYI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MUSISI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "540-327-6140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY PHARMACY OF CHARLES TOWN, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.