Organization Active NPI

Winfield Family Pharmacy

  • Community/Retail Pharmacy
  • Poca, WV
National Provider Identifier
1609418268
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WINFIELD FAMILY PHARMACY
Practice address
119C Main St
Poca, WV 25159-9602
Phone
(304) 755-1500
Fax
(304) 755-1528
NPI assigned
Oct 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Mr. Brac Brown
Title
Owner/RPH
Phone
(304) 550-1213

Specialties & licenses 2

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

Addresses

Primary practice location

119C Main St
Poca, WV 25159-9602

Mailing address

PO Box 962
Poca, WV 25159-0962
Phone (304) 755-1500

Other identifiers 1

IdentifierTypeStateIssuer
0141141000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1609418268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "POCA",
            "state": "WV",
            "postal_code": "251590962",
            "telephone_number": "304-755-1500",
            "fax_number": "304-755-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119C MAIN ST",
            "city": "POCA",
            "state": "WV",
            "postal_code": "251599602",
            "telephone_number": "304-755-1500",
            "fax_number": "304-755-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINFIELD FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRAC",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "304-550-1213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141141000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poca, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.