Mace'S Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

SP0552352 Issued in WV

Legal business name

MACE'S PHARMACY, INC.

Practice address

440 S Main St
Philippi, WV 26416-0015

Phone

(304) 457-4233

Fax

(304) 457-6760

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Richard Mace III, R. PH.

Title

President Pharmacist

Phone

(304) 457-4233

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Maces Pharmacy Inc

  • Community/Retail Pharmacy
  • Belington, WV
  • NPI 1770841637

  8820203466

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Maces Pharmacy Inc

  • Community/Retail Pharmacy
  • Belington, WV
  • NPI 1770841637

  O20181024002826

  Same enrollment

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426896000000",
    "number": "1598704934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S MAIN ST",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264160015",
            "telephone_number": "304-457-4233",
            "fax_number": "304-457-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S MAIN ST",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264160015",
            "telephone_number": "304-457-4233",
            "fax_number": "304-457-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACE'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-03-21",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "304-457-4233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "SP0552281",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0552352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003030000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Edward Lanham Jr., L.S.W.
• Rose Marie Lantz
• Lisa Kathleen Lepsh, MA
• Kemma Lynn Long
• Ralph Richard Mace III, R. PH.
• Mace'S Pharmacy, Inc.
• Robert Mars
• Judy Lane Marsh
• Shana Marie Marteny
• Tammy Martin Zimmerman

• Pharmacy in Philippi, WV
• Providers in Philippi, WV by specialty
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.