NPIMap

Organization Active NPI

Greggs Pharmacy WV Inc

  • Community/Retail Pharmacy
  • Terra Alta, WV
National Provider Identifier
1639344013
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552373 Issued in WV
Legal business name
GREGGS PHARMACY WV INC
Doing business as
GREGGS PHARMACY, Medicine Shoppe 2099
Practice address
101 Gregg Memorial Drive
Terra Alta, WV 26764
Phone
(304) 789-2200
Fax
(304) 789-2641
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Carol Gregg
Title
Treasurer
Phone
(301) 334-2197

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0552373 WV Primary

Addresses

Primary practice location

101 Gregg Memorial Drive
Terra Alta, WV 26764

Mailing address

101 Gregg Memorial Drive
P.O. Box 5
Terra Alta, WV 26764
Phone (304) 789-2200

Other identifiers 2

IdentifierTypeStateIssuer
2111737OtherPK
3810011894MedicaidWV

Other names 1

  • GREGGS PHARMACY, Medicine Shoppe 2099 Doing business as

National Provider Directory

National Provider Directory

Locations

101 Gregg Memorial Dr
Terra Alta, WV 26764
Phone (304) 789-2200

Practitioners & affiliated clinicians

Practitioners 2

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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1639344013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREGG MEMORIAL DRIVE",
            "address_2": "P.O. BOX 5",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "26764",
            "telephone_number": "304-789-2200",
            "fax_number": "304-789-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREGG MEMORIAL DRIVE",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "26764",
            "telephone_number": "304-789-2200",
            "fax_number": "304-789-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGGS PHARMACY WV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "301-334-2197"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111737",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011894",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREGGS PHARMACY, Medicine Shoppe 2099",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terra Alta, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.