Decaria Brothers Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

SP0550467 Issued in WV

Legal business name

DECARIA BROTHERS INC

Doing business as

Padden Pharmacy

Practice address

1414 Eoff St
Wheeling, WV 26003-3526

Phone

(304) 233-3010

NPI assigned

Oct 7, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Decaria, RPHNPI 1255434577

Title

Pharmacist/ Owner

Phone

(330) 385-0825

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• PADDEN PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony J Decaria, RPH

  • Pharmacist
  • East Liverpool, OH
  • NPI 1255434577
  Authorized official Same address or phone

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1659369213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 EOFF ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033526",
            "telephone_number": "304-233-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 EOFF ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033526",
            "telephone_number": "304-233-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECARIA BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DECARIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PHARMACIST/ OWNER",
        "authorized_official_telephone_number": "330-385-0825",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0550467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235810",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139434000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5008861",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP0550167",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PADDEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Ann Dean, RDH, MSDH,CTTS,FADHA
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• Pharmacy in Wheeling, WV
• Providers in Wheeling, 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 7, 2023; 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.