Hoge Davis Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550123 Issued in WV

Legal business name

HOGE DAVIS DRUG CO

Doing business as

Elm Grove Pharmacy

Practice address

102 East Bethlehem Blvd
Wheeling, WV 26003-4866

Phone

(304) 242-1500

Fax

(304) 242-6889

NPI assigned

Nov 15, 2006

Organization subpart

Yes

Parent organization

HOGE DAVIS DRUG COAs reported in NPPES

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

Authorized official

Name

Anthony Angelo Martino, RPH.NPI 1124022512

Title

President/Pharmacist-in-Charge

Phone

(304) 242-1500

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Elm Grove Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Hoge Davis Drug Co

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Angelo Martino, RPH

  • Pharmacist
  • Wheeling, WV
  • NPI 1124022512
  NPD Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1215009014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 EAST BETHLEHEM BLVD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034866",
            "telephone_number": "304-242-1500",
            "fax_number": "304-242-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 EAST BETHLEHEM BLVD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034866",
            "telephone_number": "304-242-1500",
            "fax_number": "304-242-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGE DAVIS DRUG CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOGE DAVIS DRUG CO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "304-242-1500",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141960000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5000930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm Grove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond A Hinerman, DDS, M.D.
• Alberta Hinkle
• Jennifer Marie Hinkle
• Connie Hissom
• Michelle Lynn Hogan, LSW
• Paul William Hohman
• Adam Shane Holbrook, DO
• Elizabeth Ann Holden, RN
• Molly Elizabeth Holden
• Melody Holliday, INTERVENTION SPECIAL

• Community/Retail Pharmacy in Wheeling, WV
• Providers in Wheeling, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.