Organization Active NPI

Poca Valu-Rite, Inc

  • Community/Retail Pharmacy
  • Poca, WV
National Provider Identifier
1497801161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0551221 Issued in WV
Legal business name
POCA VALU-RITE, INC
Practice address
119C Main Street
Poca, WV 25159
Phone
(304) 755-1500
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brac Brown
Title
Pharmacist
Phone
(304) 755-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0551221 WV Primary

Addresses

Primary practice location

119C Main Street
Poca, WV 25159

Mailing address

119-C Main Street
PO Box 962
Poca, WV 25159
Phone (304) 755-1500

Other identifiers 1

IdentifierTypeStateIssuer
0141141000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497801161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119-C MAIN STREET",
            "address_2": "PO BOX 962",
            "city": "POCA",
            "state": "WV",
            "postal_code": "25159",
            "telephone_number": "304-755-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119C MAIN STREET",
            "city": "POCA",
            "state": "WV",
            "postal_code": "25159",
            "telephone_number": "304-755-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCA VALU-RITE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRAC",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "304-755-1500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0551221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141141000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poca, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.