Organization Active NPI

Red Dot Pharmacy Inc

  • Pharmacy
  • Mannington, WV
National Provider Identifier
1225014574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RP0002474 Issued in WV
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0143327000MedicaidWV

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.