Individual provider Active NPI

Timothy Patrick McCarty, PHARMD

  • Pharmacist
  • Clintwood, VA
National Provider Identifier
1528347010
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020204666 Issued in VA
Practice address
340 Colley Shopping Ctr
Clintwood, VA 24228-5756
Phone
(276) 926-6890
Fax
(276) 926-6893
NPI assigned
Aug 15, 2011
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 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 020204666 VA Primary

Addresses

Primary practice location

340 Colley Shopping Ctr
Clintwood, VA 24228-5756

Mailing address

340 Colley Shopping Ctr
Clintwood, VA 24228-5756
Phone (276) 926-6890

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
020204666VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
West End Pharmacy Current Accepting new patients

Locations

340 Colley Shopping Ctr
Clintwood, VA 24228
Phone (276) 926-6890

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1528347010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COLLEY SHOPPING CTR",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242285756",
            "telephone_number": "276-926-6890",
            "fax_number": "276-926-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COLLEY SHOPPING CTR",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242285756",
            "telephone_number": "276-926-6890",
            "fax_number": "276-926-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "020204666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clintwood, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.