Bradshaw Economy Drug Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BRADSHAW ECONOMY DRUG INC.

Practice address

10029 Marshall Highway
Bradshaw, WV 24817

Phone

(307) 967-9333

Fax

(304) 967-9355

NPI assigned

Feb 6, 2015

Last updated

Feb 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Broyles

Title

Owner/President

Phone

(304) 967-9333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1205227634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "HURLEY",
            "state": "VA",
            "postal_code": "246200205",
            "telephone_number": "307-967-9333",
            "fax_number": "304-967-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10029 MARSHALL HIGHWAY",
            "city": "BRADSHAW",
            "state": "WV",
            "postal_code": "24817",
            "telephone_number": "307-967-9333",
            "fax_number": "304-967-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADSHAW ECONOMY DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "304-967-9333"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Bradshaw, WV
• Providers in Bradshaw, WV by specialty
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.