Active NPI
Pastm Inc
- Pharmacy
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- SP0552277
- Legal business name
- PASTM INC
- Doing business as
- MEDICAP PHARMACY
- Practice address
- 4352 5TH Street Rd
Huntington, WV 25701-9558 - Phone
- (304) 523-5003
- Fax
- (304) 523-2462
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Thomas, RPH
- Title
- Pharmacist
- Phone
- (304) 523-5003
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | SP0552277 | WV | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
4352 5TH Street Rd
Huntington, WV 25701-9558
Mailing address
4352 5TH Street Rd
Huntington, WV 25701-9558
Phone (304) 523-5003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6004009000 | Medicaid | WV | |
| 5011894 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- MEDICAP PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057455 | WV | DME Supplier - Pharmacy | 9638382856 | Practice locations: Huntington, WV |
| O20121106000004 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638382856 | Practice locations: Huntington, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D1039777 | Medicap Pharmacy 317 | Certificate of waiver | Apr 21, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medicap Pharmacy | Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
4352 5th Street Rd
Huntington, WV 25701
Phone (304) 523-5003
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Huntington, WV
- NPI 1710270970
-
- Pharmacist
- Huntington, WV
- NPI 1245508712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1467546770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4352 5TH STREET RD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257019558",
"telephone_number": "304-523-5003",
"fax_number": "304-523-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4352 5TH STREET RD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257019558",
"telephone_number": "304-523-5003",
"fax_number": "304-523-2462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASTM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "304-523-5003",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WV",
"license": "SP0552277",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6004009000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5011894",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAP PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.