Active NPI
Red Dot Pharmacy Inc
- Pharmacy
- Mannington, WV
National Provider Identifier
1225014574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RP0002474
- Legal business name
- RED DOT PHARMACY INC
- Practice address
- 131 Market St
Mannington, WV 26582-1130 - Phone
- (304) 986-3486
- Fax
- (304) 986-1785
- NPI assigned
- Dec 19, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark E Morris
- Title
- Vice President
- Phone
- (304) 986-3486
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | RP0003726 | WV | |
| Pharmacy | 333600000X | RP0002474 | WV | Primary |
Addresses
Primary practice location
131 Market St
Mannington, WV 26582-1130
Mailing address
131 Market St
Mannington, WV 26582-1130
Phone (304) 986-3486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0143327000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225014574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MARKET ST",
"city": "MANNINGTON",
"state": "WV",
"postal_code": "265821130",
"telephone_number": "304-986-3486",
"fax_number": "304-986-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MARKET ST",
"city": "MANNINGTON",
"state": "WV",
"postal_code": "265821130",
"telephone_number": "304-986-3486",
"fax_number": "304-986-1785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED DOT PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "304-986-3486",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WV",
"license": "RP0003726",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WV",
"license": "RP0002474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143327000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mannington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.