Organization Active NPI

Beckley Pharmacy

  • Pharmacy
  • Beckley, WV
National Provider Identifier
1376946509
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5010993 Issued in WV
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 PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6040073000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Beckley Pharmacy3 organizations share this tax ID, including this one
Part of
Beckley Pharmacy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.