Organization Active NPI

Pharmacy Associates, Inc

  • Durable Medical Equipment & Medical Supplies
  • Clarksburg, WV
National Provider Identifier
1609974898
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
005 Issued in WV
Legal business name
PHARMACY ASSOCIATES, INC
Practice address
1807 W Pike St
Clarksburg, WV 26301-2345
Phone
(800) 861-1661
Fax
(304) 326-2051
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Anita Christine Roberts, CPHT
Title
Spec Pharma Ops Manager
Phone
(304) 529-2143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 005 WV Primary

Addresses

Primary practice location

1807 W Pike St
Clarksburg, WV 26301-2345

Mailing address

1807 W Pike St
Clarksburg, WV 26301-2345
Phone (800) 861-1661

Other identifiers 3

IdentifierTypeStateIssuer
90269044MedicaidKY
0670939MedicaidOH
0144228004MedicaidWV

Other names 1

  • CompreCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Option Care Huntington7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609974898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W PIKE ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012345",
            "telephone_number": "800-861-1661",
            "fax_number": "304-326-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W PIKE ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012345",
            "telephone_number": "800-861-1661",
            "fax_number": "304-326-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "SPEC PHARMA OPS MANAGER",
        "authorized_official_telephone_number": "304-529-2143",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90269044",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670939",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144228004",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CompreCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.