Pharmcorx LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0006332 Issued in WV

Legal business name

PHARMCORX LLC

Practice address

164 Thompson Dr
Suite 25
Bridgeport, WV 26330-1644

Phone

(304) 933-3353

Fax

(304) 933-3354

NPI assigned

Apr 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Matthew A Genin, PHARMACIST

Title

Manager

Phone

(304) 933-3353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1487944377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 THOMPSON DR",
            "address_2": "SUITE 25",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301644",
            "telephone_number": "304-933-3353",
            "fax_number": "304-933-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 THOMPSON DR",
            "address_2": "SUITE 25",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301644",
            "telephone_number": "304-933-3353",
            "fax_number": "304-933-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCORX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "GENIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-933-3353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810019094",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christel Pervola
• Andrea J Peters, LGSW
• Marcus A Peters, MD
• Crystal Nicole Pettrey, LGSW
• Jennifer Dell Pettus, PTA
• Cathy Joan Phillips
• Curtis Phillips
• Mary-Ann Phillips, M.D.
• Physician Office Building- Uhc
• Rachel Pickrell, NP

• Pharmacist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.