Judys Drug Store Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

JUDYS DRUG STORE INC

Doing business as

Judys Drug Store LTC

Practice address

24 N Main St
Petersburg, WV 26847-1518

Phone

(304) 257-1044

Fax

(304) 257-2857

NPI assigned

Feb 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

JUDYS DRUG STORE INCAs reported in NPPES

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

Authorized official

Name

Darin Judy

Title

VP

Phone

(304) 257-1044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JUDYS DRUG STORE LTC Doing business as

Tax ID family

Judys Drug Store2 organizations share this tax ID, including this one

Part of

Judys Drug Store

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Judys Drug Store Inc

  • Community/Retail Pharmacy
  • Petersburg, WV
  • NPI 1295739654
  NPD tax ID

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487351714",
    "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": "304-257-2857"
        },
        {
            "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": "304-257-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDYS DRUG STORE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUDYS DRUG STORE INC",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "304-257-1044"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF PHARMACY",
            "identifier": "SP0550070",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUDYS DRUG STORE LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry Johnson
• Marie Wilberte Jose
• Emily C Judy, RPH
• Judys Drug Store Inc
• Judys Drug Store Inc
• Randall Scott Junkins, PHARMD
• Manassa V Kauffman
• Anna Keplinger
• Elsie V Keplinger
• John Ryan Keplinger

• Long Term Care Pharmacy in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Long Term Care Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.