Organization Active NPI

Welch Pharmacy Inc

Doing business as Citizens Drug Store

  • Community/Retail Pharmacy
  • Welch, WV
National Provider Identifier
1336326792
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552370 Issued in WV
Legal business name
WELCH PHARMACY INC
Doing business as
Citizens Drug Store
Practice address
70 Wyoming St
Welch, WV 24801-2431
Phone
(304) 436-4932
Fax
(304) 436-6307
NPI assigned
Jan 29, 2008
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Shawn Jenkins, RPH
Title
President
Phone
(304) 888-0818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0552370 WV Primary

Addresses

Primary practice location

70 Wyoming St
Welch, WV 24801-2431

Mailing address

70 Wyoming St
Welch, WV 24801-2431
Phone (304) 436-4932

Other identifiers 1

IdentifierTypeStateIssuer
2111654OtherPK

Other names 1

  • CITIZENS DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1336326792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WYOMING ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012431",
            "telephone_number": "304-436-4932",
            "fax_number": "304-436-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WYOMING ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012431",
            "telephone_number": "304-436-4932",
            "fax_number": "304-436-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-888-0818",
        "authorized_official_credential": "RPH"
    },
    "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": "SP0552370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITIZENS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Welch, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.