Meadow River Health Care Associates Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552389 Issued in WV

Legal business name

MEADOW RIVER HEALTH CARE ASSOCIATES INC

Doing business as

Craigsville Hometown Pharmacy

Practice address

18077 Webster Rd.
Craigsville, WV 26205

Phone

(304) 742-6040

Fax

(304) 742-6044

NPI assigned

Feb 27, 2009

Organization subpart

No

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

Authorized official

Name

James Burr

Title

President/Owner

Phone

(304) 742-6040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Craigsville Hometown Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1194965376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 WEBSTER RD.",
            "city": "CRAIGSVILLE",
            "state": "WV",
            "postal_code": "26205",
            "telephone_number": "304-742-6040",
            "fax_number": "304-742-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW RIVER HEALTH CARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "304-742-6040"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5054995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craigsville Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jessica L Murphy, D.O.
• Rebecca Grace Odell
• Cynthia M Osborne, D.O.
• Kathern Peyatt

• Community/Retail Pharmacy in Craigsville, WV
• Providers in Craigsville, 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 Feb 13, 2015; 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.