Jane Lew Pharmacy, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JANE LEW PHARMACY, LLC.

Practice address

134 Industrial Park Rd
Suite 100
Jane Lew, WV 26378-9785

Phone

(304) 884-7100

Fax

(304) 884-7123

NPI assigned

Apr 4, 2013

Last updated

Apr 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew A Genin

Title

Vice President

Phone

(304) 884-7100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1295078624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD",
            "address_2": "SUITE 100",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "263789785",
            "telephone_number": "304-884-7100",
            "fax_number": "304-884-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD",
            "address_2": "SUITE 100",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "263789785",
            "telephone_number": "304-884-7100",
            "fax_number": "304-884-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE LEW PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "GENIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-884-7100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Holden
• Timothy Hughes
• Whitney Hughes
• Casey D Jackson, DPT
• Michele Jamison
• Bernice Keesucker
• Deanna L. Leach, PA-C
• Tracy Elizabeth Marple
• Pamela Renee Maxwell, N.P.-C.
• Jeremy Wayne McCarty

• Community/Retail Pharmacy in Jane Lew, WV
• Providers in Jane Lew, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.