NPIMap

Organization Active NPI

Fruth Pharamcy Inc

Doing business as Fruth Central Fill # 900

  • Community/Retail Pharmacy
  • Nitro, WV
National Provider Identifier
1285003343
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022561300 Issued in OH
Legal business name
FRUTH PHARAMCY INC
Doing business as
Fruth Central Fill # 900
Practice address
106 21St St
Nitro, WV 25143-1740
Phone
(304) 755-9015
Fax
(304) 755-9020
NPI assigned
Sep 18, 2015
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Andrew Becker
Title
Director of Pharmacy
Phone
(304) 675-1612

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X MP0552419 WV
Community/Retail Pharmacy 3336C0003X 022561300 OH Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

106 21St St
Nitro, WV 25143-1740

Mailing address

106 21St St
Nitro, WV 25143-1740
Phone (304) 755-9015

Other identifiers 1

IdentifierTypeStateIssuer
2154064OtherPK

Other names 1

  • Fruth Central Fill # 900 Doing business as

National Provider Directory

National Provider Directory

Locations

106 21st St
Nitro, WV 25143
Phone (304) 755-0128

Practitioners & affiliated clinicians

Practitioners 6

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": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1285003343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 21ST ST",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431740",
            "telephone_number": "304-755-9015",
            "fax_number": "304-755-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 21ST ST",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431740",
            "telephone_number": "304-755-9015",
            "fax_number": "304-755-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUTH PHARAMCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "304-675-1612"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "MP0552419",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022561300",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fruth Central Fill # 900",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nitro, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.