Fruth Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Nitro, WV
NPI 1528073467 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1528073467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0550911 (WV)
- Legal business name
- FRUTH PHARMACY INC
- Practice address
- 101 21St St
Nitro, WV 25143-1739 - Phone
- (304) 755-0128
- Fax
- (304) 204-2223
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Andrew Becker
- Title
- Ceo
- Phone
- (304) 675-1612
Other NPIs on the same Medicare enrollment 11
Practitioners 4
-
Dylan Mathew Whitt, PHARMACIST INTERN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090724000389 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 3476606393 |
17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hurricane, WV; Milton, WV; Mineral Wells, WV; Nitro, WV; Point Pleasant, WV; Ripley, WV; Scott Depot, WV; Spencer, WV… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0550911 | WV | Yes |
Addresses
Primary practice location
101 21St St
Nitro, WV 25143-1739
Mailing address
Fruth Corporate Offices
4016 Ohio River Road
Point Pleasant, WV 25550
Phone (304) 675-1612
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0227766016 | Medicaid | WV | |
| 1528073467 | Medicaid | WV | |
| 2109956 | Other | PK |
Other names
- FRUTH PHARMACY 07
Other providers in Nitro, WV
- Angela Frances Ferrari
- Angela Kay Fields
- Kiara Forrest
- Delea Foster
- Fruth Pharamcy Inc
- Lori Fuller
- G. Mark Moreland M.D.
- Arianna Garrett
- Generations R.C. Inc.
- Franci B Geras
All providers in Nitro, WV · Community/Retail Pharmacy in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.