Tricounty Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TRICOUNTY PHARMACY INC

Doing business as

Tricounty Pharmacy

Practice address

762 Little Coal River Rd
Alum Creek, WV 25003-9262

Phone

(304) 756-1260

Fax

(304) 756-1262

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By 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

Spiro Mitias

Title

President

Phone

(304) 756-1260

Specialties & licenses 1

Addresses

Other names 1

• Tricounty Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Fulks, PHARM.D.

  • Pharmacist
  • Alum Creek, WV
  • NPI 1336555739
  NPD (past)
• Mark S Reinhard, R.PH.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Alum Creek, WV
  • NPI 1154767648
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1225690910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "ALUM CREEK",
            "state": "WV",
            "postal_code": "250030095",
            "telephone_number": "304-756-1260",
            "fax_number": "304-756-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 LITTLE COAL RIVER RD",
            "city": "ALUM CREEK",
            "state": "WV",
            "postal_code": "250039262",
            "telephone_number": "304-756-1260",
            "fax_number": "304-756-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MITIAS",
        "authorized_official_first_name": "SPIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-756-1260"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricounty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Sutton
• Shellie Tanner
• Kendra Taylor
• Yehualashet Adere Tesema
• Jordan Thomas
• Lisa Tucker
• Bethany Walls
• Alisha Walters
• Artia Ward
• Troy White

• Community/Retail Pharmacy in Alum Creek, WV
• Providers in Alum Creek, 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 Jul 2, 2019; 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.