Organization Active NPI

Stuck & Alger Pharmacy Inc

  • Pharmacy
  • Charles Town, WV
National Provider Identifier
1235116641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
STUCK & ALGER PHARMACY INC
Practice address
114 W Washington St
Charles Town, WV 25414-1543
Phone
(304) 725-2621
Fax
(304) 728-4321
NPI assigned
Dec 28, 2005
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. Paul Richard Manzuk, RPH
Title
President - Pharmacist
Phone
(304) 725-2621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

114 W Washington St
Charles Town, WV 25414-1543

Mailing address

PO Box 427
114 W Washington St
Charles Town, WV 25414-0427
Phone (304) 725-2621

Other identifiers 1

IdentifierTypeStateIssuer
8502153MedicaidWV

National Provider Directory

National Provider Directory

Locations

114 W Washington St
Charles Town, WV 25414
Phone (304) 725-2621

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235116641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "address_2": "114 W WASHINGTON ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254140427",
            "telephone_number": "304-725-2621",
            "fax_number": "304-728-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W WASHINGTON ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141543",
            "telephone_number": "304-725-2621",
            "fax_number": "304-728-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUCK & ALGER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANZUK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT - PHARMACIST",
        "authorized_official_telephone_number": "304-725-2621",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502153",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, 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.