Active NPI
Emily Jeffrey, R.PH.
- Pharmacist
- Charleston, WV
National Provider Identifier
1356612675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0006174
- Practice address
- 701 Lee St E
Charleston, WV 25301-1706 - Phone
- (304) 720-8341
- Fax
- (304) 720-8343
- NPI assigned
- Jan 18, 2012
- Last updated
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0006174 | WV | Primary |
| Pharmacist | 183500000X | 03230275 | OH |
Addresses
Primary practice location
701 Lee St E
Charleston, WV 25301-1706
Mailing address
701 Lee St E
Charleston, WV 25301-1706
Phone (304) 720-8341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03230275 | OH | MD | Pharmacist |
| RP0006174 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fruth Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1356612675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LEE ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011706",
"telephone_number": "304-720-8341",
"fax_number": "304-720-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 LEE ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011706",
"telephone_number": "304-720-8341",
"fax_number": "304-720-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREY",
"first_name": "EMILY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0006174",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03230275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.