Judys Drug Store Inc

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

30 Issued in WV

Legal business name

JUDYS DRUG STORE INC

Practice address

24 N Main St
Petersburg, WV 26847-1518

Phone

(304) 257-1044

Fax

(304) 257-2681

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Darin C Judy

Title

Vice President

Phone

(304) 257-1044

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• JUDYS HEALTH EDUCATION SERVICES Other name

Locations

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1407851769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N MAIN ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471518",
            "telephone_number": "304-257-1044",
            "fax_number": "304-257-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N MAIN ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471518",
            "telephone_number": "304-257-1044",
            "fax_number": "304-257-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDYS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-257-1044"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WV",
            "license": "30",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "51D1024349",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141999000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUDYS HEALTH EDUCATION SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sibhan Leeann Johnson
• Terry Johnson
• Marie Wilberte Jose
• Emily C Judy, RPH
• Judys Drug Store Inc
• Judys Drug Store Inc (Judys Drug Store LTC)
• Randall Scott Junkins, PHARMD
• Manassa V Kauffman
• Anna Keplinger
• Elsie V Keplinger

• Nutrition Education Nutritionist in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Nutrition Education Nutritionist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.