Active NPI
Winfield Family Pharmacy
- Community/Retail Pharmacy
- Poca, WV
National Provider Identifier
1609418268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0141141000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryNPI 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.