Individual provider Active NPI

Timothy William Sotosky, PHARMD

  • Pharmacist
  • Elkins, WV
National Provider Identifier
1518259167
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0007313 Issued in WV
Practice address
615 Randolph Ave
Elkins, WV 26241-3950
Phone
(304) 636-8180
Fax
(304) 636-8310
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0007313 WV Primary

Addresses

Primary practice location

615 Randolph Ave
Elkins, WV 26241-3950

Mailing address

615 Randolph Ave
Elkins, WV 26241-3950
Phone (304) 636-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP0007313WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1518259167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413950",
            "telephone_number": "304-636-8180",
            "fax_number": "304-636-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413950",
            "telephone_number": "304-636-8180",
            "fax_number": "304-636-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOSKY",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.