NPIMap

Organization Active NPI

Medical Associates Pharmacy Inc

  • Community/Retail Pharmacy
  • Barboursville, WV
National Provider Identifier
1568655678
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
MP0552262 Issued in WV
Legal business name
MEDICAL ASSOCIATES PHARMACY INC
Doing business as
MEDICAL ASSOCIATES PHARMACY
Practice address
3 Chateau LN
Ste 3
Barboursville, WV 25504-1627
Phone
(304) 736-9442
Fax
(304) 302-0598
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
David Coronato
Title
Controller
Phone
(304) 736-4608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X MP0552262 WV Primary

Addresses

Primary practice location

3 Chateau LN
Ste 3
Barboursville, WV 25504-1627

Mailing address

PO Box 245
Barboursville, WV 25504-0245

Other identifiers 2

IdentifierTypeStateIssuer
5011654OtherNCPDP PROVIDER IDENTIFICATION NUMBER
8500089000MedicaidWV

Other names 1

  • MEDICAL ASSOCIATES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3 Chateau Ln
Ste C
Barboursville, WV 25504
Phone (304) 736-8310

3 Chateau Ln
Ste 3
Barboursville, WV 25504
Phone (304) 736-9442

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1568655678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255040245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHATEAU LN",
            "address_2": "STE 3",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041627",
            "telephone_number": "304-736-9442",
            "fax_number": "304-302-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "CORONATO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "304-736-4608"
    },
    "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": "MP0552262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5011654",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500089000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ASSOCIATES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.