Organization Active NPI

RX Medical Compounding, LLC

  • Community/Retail Pharmacy
  • Beckley, WV
National Provider Identifier
1467703991
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552432 Issued in WV
Legal business name
RX MEDICAL COMPOUNDING, LLC
Practice address
3159 Robert C Byrd Dr
Beckley, WV 25801-3724
Phone
(304) 255-6334
Fax
(304) 255-9011
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Michael Gerard Powers
Title
Owner
Phone
(304) 255-6334

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0552432 WV Primary
Compounding Pharmacy 3336C0004X SP0552432 WV
Mail Order Pharmacy 3336M0002X SP0552432 WV

Addresses

Primary practice location

3159 Robert C Byrd Dr
Beckley, WV 25801-3724

Mailing address

3159 Robert C Byrd Dr
Beckley, WV 25801-3724
Phone (304) 255-6334

National Provider Directory

National Provider Directory

Locations

3159 Robert C Byrd Dr
Beckley, WV 25801
Phone (304) 255-6334

Practitioners & affiliated clinicians

Practitioners 1

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": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1467703991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013724",
            "telephone_number": "304-255-6334",
            "fax_number": "304-255-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013724",
            "telephone_number": "304-255-6334",
            "fax_number": "304-255-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX MEDICAL COMPOUNDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-255-6334"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552432",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WV",
            "license": "SP0552432",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "WV",
            "license": "SP0552432",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 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.