Active NPI
Earl Claycomb, RPH
- Pharmacist
- Mount Gay, WV
National Provider Identifier
1437224367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP 0003750
- Practice address
- Old Route 119
Mount Gay, WV 25637 - Phone
- (304) 752-1445
- Fax
- (304) 752-1468
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP 0003750 | WV | Primary |
Addresses
Primary practice location
Old Route 119
Mount Gay, WV 25637
Mailing address
2428 Astarita Way
Lexington, KY 40509-4463
Phone (859) 523-2613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0138875000 | Medicaid | WV |
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 |
|---|---|---|---|
| RP 0003750 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Discount Pharmacy of Stollings, Inc | Current | Accepting new patients | |
| Family Discount Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Mount Gay, WV
- NPI 1184628117
-
- Pharmacy
- Logan, WV
- NPI 1457355489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437224367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 ASTARITA WAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094463",
"telephone_number": "859-523-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OLD ROUTE 119",
"city": "MOUNT GAY",
"state": "WV",
"postal_code": "25637",
"telephone_number": "304-752-1445",
"fax_number": "304-752-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYCOMB",
"first_name": "EARL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP 0003750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0138875000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Gay, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.