Zimm Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550650 Issued in WV

Legal business name

ZIMM PHARMACY INC

Doing business as

Zimm Pharmacy

Practice address

239 N Court St
Fayetteville, WV 25840-1233

Phone

(304) 574-4100

Fax

(304) 574-4103

NPI assigned

Nov 21, 2006

Last updated

Mar 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Zimm, BS

Title

Pharmacist and Owner

Phone

(304) 574-4100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ZIMM PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1568537140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N COURT ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401233",
            "telephone_number": "304-574-4100",
            "fax_number": "304-574-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N COURT ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401233",
            "telephone_number": "304-574-4100",
            "fax_number": "304-574-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "ZIMM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "304-574-4100",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111395",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500068000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZIMM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thelma Workman
• Lyndsi O Wriston
• Matthew Wriston, PHARMD
• Lyndsey Jean Young
• Wendy Pruett Young, MS, LPC, AADC

• Community/Retail Pharmacy in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.