Organization Active NPI

Family Discount Pharmacy of Stollings, Inc

  • Pharmacy
  • Logan, WV
National Provider Identifier
1457355489
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
SP0550155 Issued in WV
Legal business name
FAMILY DISCOUNT PHARMACY OF STOLLINGS, INC
Practice address
153 Stollings Ave
Logan, WV 25601-4010
Phone
(304) 752-0082
Fax
(304) 752-9600
NPI assigned
Jun 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Mr. Eddie Gene Thornhill, RPHNPI 1528136850
Title
Proprietor/RPH
Phone
(304) 752-5351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X SP0550155 WV Primary

Addresses

Primary practice location

153 Stollings Ave
Logan, WV 25601-4010

Mailing address

PO Box 380
Stollings, WV 25646-0380
Phone (304) 752-0082

Other identifiers 1

IdentifierTypeStateIssuer
0139392000MedicaidWV

Other names 1

  • Family Discount Pharmacy of Stollings, Inc Other name

National Provider Directory

National Provider Directory

Locations

153 Stollings Ave
Logan, WV 25601
Phone (304) 752-0082

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1457355489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "STOLLINGS",
            "state": "WV",
            "postal_code": "256460380",
            "telephone_number": "304-752-0082",
            "fax_number": "304-752-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STOLLINGS AVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014010",
            "telephone_number": "304-752-0082",
            "fax_number": "304-752-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DISCOUNT PHARMACY OF STOLLINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "THORNHILL",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PROPRIETOR/RPH",
        "authorized_official_telephone_number": "304-752-5351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0550155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139392000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Discount Pharmacy of Stollings, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.