Fruth Pharmacy of Ohio Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020364050 Issued in OH

Legal business name

FRUTH PHARMACY OF OHIO INC

Doing business as

FRUTH PHARMACY 06

Practice address

706 W Main St
Pomeroy, OH 45769-1224

Phone

(740) 992-6491

Fax

(740) 992-3811

NPI assigned

Jul 29, 2006

Organization subpart

No

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 2

Addresses

Other identifiers 4

Other names 1

• FRUTH PHARMACY 06 Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1346255270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRUTH CORPORATE OFFICES",
            "address_2": "4016 OHIO RIVER ROAD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-1612",
            "fax_number": "304-675-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W MAIN ST",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "457691224",
            "telephone_number": "740-992-6491",
            "fax_number": "740-992-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUTH PHARMACY OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020364050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227766015",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0524089",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346255270",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRUTH PHARMACY 06",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camden Everidge, LSW
• Ashley Kathryn Fehlig, PTA
• Kristina Marie Finlaw, FNP-C
• Kandus Fortner
• Alyssa R Frank, LPN
• Fruth Pharmacy of Ohio Inc
• Tonya Lorraine Fuller
• Nicholas Edward Gatzulis, DDS
• Sable Geiger, DENTAL ASST
• Meghan Goeglein

• Community/Retail Pharmacy in Pomeroy, OH
• Providers in Pomeroy, OH by specialty
• Community/Retail Pharmacy in Ohio

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.