Organization Active NPI

North End Pharmacy

  • Community/Retail Pharmacy
  • Martinsburg, WV
National Provider Identifier
1235236076
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0550657 Issued in WV
Legal business name
NORTH END PHARMACY
Practice address
126 Eagle School Rd
Martinsburg, WV 25404-5449
Phone
(304) 263-0872
Fax
(304) 263-5986
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Ruth
Title
Pharmacist Owner
Phone
(304) 263-0872

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0550657 WV Primary

Addresses

Primary practice location

126 Eagle School Rd
Martinsburg, WV 25404-5449

Mailing address

126 Eagle School Rd
Martinsburg, WV 25404-5449

Other identifiers 3

IdentifierTypeStateIssuer
5005663OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0142047600MedicaidWV
5005663OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

126 Eagle School Rd
Martinsburg, WV 25404
Phone (304) 263-0872

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1235236076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 EAGLE SCHOOL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 EAGLE SCHOOL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045449",
            "telephone_number": "304-263-0872",
            "fax_number": "304-263-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH END PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "304-263-0872"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5005663",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142047600",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5005663",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.