Active NPI
Beckley Pharmacy
- Pharmacy
- Beckley, WV
National Provider Identifier
1376946509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5010993
- Legal business name
- BECKLEY PHARMACY
- Practice address
- 105 Anwar Fatima Lane
Beckley, WV 25801 - Phone
- (304) 465-7200
- Fax
- (304) 465-0377
- NPI assigned
- Oct 2, 2014
- Organization subpart
- Yes
- Parent organization
- BECKLEY PHARMACY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jawed Sherwani
- Title
- Owner/ Pharmacist
- Phone
- (304) 465-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5010993 | WV | Primary |
Addresses
Primary practice location
105 Anwar Fatima Lane
Beckley, WV 25801
Mailing address
435 Main St W
Oak Hill, WV 25901-3453
Phone (681) 207-7008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6040073000 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Beckley Pharmacy
- Part of
- Beckley Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Beckley, WV
- NPI 1699818377
-
- Community/Retail Pharmacy
- Beckley, WV
- NPI 1750746046
Locations
105 Anwar Fatima Ln
Beckley, WV 25801
Phone (304) 465-7200
435 Main St W
Oak Hill, WV 25901
Phone (304) 465-5855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417132800000",
"number": "1376946509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 MAIN ST W",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259013453",
"telephone_number": "681-207-7008",
"fax_number": "681-207-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ANWAR FATIMA LANE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-465-7200",
"fax_number": "304-465-0377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECKLEY PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BECKLEY PHARMACY",
"enumeration_date": "2014-10-02",
"last_updated": "2014-11-28",
"status": "A",
"authorized_official_last_name": "SHERWANI",
"authorized_official_first_name": "JAWED",
"authorized_official_title_or_position": "OWNER/ PHARMACIST",
"authorized_official_telephone_number": "304-465-7200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WV",
"license": "5010993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6040073000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.