Active NPI
Stuck & Alger Pharmacy Inc
- Pharmacy
- Charles Town, WV
National Provider Identifier
1235116641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8502153 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.