Organization Active NPI

Discount Emporium Inc

Doing business as Drug Emporium

  • Community/Retail Pharmacy
  • Charleston, WV
National Provider Identifier
1265531149
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
MP0550147 Issued in WV
Legal business name
DISCOUNT EMPORIUM INC
Doing business as
Drug Emporium
Practice address
1603 Kanawha Blvd W
Charleston, WV 25387-2535
Phone
(304) 345-3784
Fax
(304) 345-4999
NPI assigned
Sep 21, 2006
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Jerry Leonard
Title
V P Pharmacy
Phone
(304) 345-4836

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X MP0550147 WV Primary

Addresses

Primary practice location

1603 Kanawha Blvd W
Charleston, WV 25387-2535

Mailing address

1601 Kanawha Blvd W
Su 200
Charleston, WV 25387-2539
Phone (304) 345-4836

Other identifiers 2

IdentifierTypeStateIssuer
0140522000MedicaidWV
2110580OtherPK

Other names 1

  • DRUG EMPORIUM Doing business as

National Provider Directory

National Provider Directory

Locations

1601 Kanawha Blvd W
Ste 200
Charleston, WV 25387
Phone (304) 345-4836

1603 Kanawha Blvd W
Charleston, WV 25387
Phone (304) 345-3784

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1265531149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 KANAWHA BLVD W",
            "address_2": "SU 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872539",
            "telephone_number": "304-345-4836",
            "fax_number": "304-345-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872535",
            "telephone_number": "304-345-3784",
            "fax_number": "304-345-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOUNT EMPORIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "V P PHARMACY",
        "authorized_official_telephone_number": "304-345-4836"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "MP0550147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140522000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG EMPORIUM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.