Active NPI
Rider Pharmacy Group
Doing business as Rider Pharmacy Inc
- Health Educator
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 3975
- Legal business name
- RIDER PHARMACY GROUP
- Doing business as
- Rider Pharmacy Inc
- Practice address
- 303 Merchant St
Fairmont, WV 26554-5213 - Phone
- (304) 366-2710
- Fax
- (304) 366-3201
- NPI assigned
- Feb 14, 2014
- Last updated
- Feb 14, 2014
- Organization subpart
- Yes
- Parent organization
- RIDER PHARMACY INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra A Slates, RPH,CDE
- Title
- Clinical Pharmacist
- Phone
- (304) 366-2710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 3975 | WV | Primary |
Addresses
Primary practice location
303 Merchant St
Fairmont, WV 26554-5213
Mailing address
303 Merchant St
Fairmont, WV 26554-5213
Phone (304) 366-2710
Other names 1
- Rider Pharmacy Inc
National Provider Directory
National Provider Directory- Tax ID family
- Rider Pharmacy Group
- Part of
- Rider Pharmacy Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Fairmont, WV
- NPI 1194155812
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Health Educator
- Fairmont, WV
- NPI 1932548690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392336000000",
"number": "1508280272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MERCHANT ST",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265545213",
"telephone_number": "304-366-2710",
"fax_number": "304-366-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MERCHANT ST",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265545213",
"telephone_number": "304-366-2710",
"fax_number": "304-366-3201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDER PHARMACY GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIDER PHARMACY INC.",
"enumeration_date": "2014-02-14",
"last_updated": "2014-02-14",
"status": "A",
"authorized_official_last_name": "SLATES",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CLINICAL PHARMACIST",
"authorized_official_telephone_number": "304-366-2710",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH,CDE"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": "WV",
"license": "3975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rider Pharmacy Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.