Organization Active NPI

Fruth Pharmacy of Ohio Inc

  • Community/Retail Pharmacy
  • Gallipolis, OH
National Provider Identifier
1659388676
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020968500 Issued in OH
Legal business name
FRUTH PHARMACY OF OHIO INC
Doing business as
FRUTH PHARMACY 21
Practice address
204 2ND Ave
Gallipolis, OH 45631-1022
Phone
(740) 441-0781
Fax
(740) 441-9120
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Andrew Becker
Title
Director of Pharmacy
Phone
(304) 675-1612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020968500 OH Primary

Addresses

Primary practice location

204 2ND Ave
Gallipolis, OH 45631-1022

Mailing address

Fruth Corporate Offices
4016 Ohio River Road
Point Pleasant, WV 25550
Phone (304) 675-1612

Other identifiers 4

IdentifierTypeStateIssuer
2007830MedicaidOH
1659388676MedicaidWV
2074550OtherPK
0227766013MedicaidWV

Other names 1

  • FRUTH PHARMACY 21 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1005280Fruth Pharmacy #21204 Second Avenue, Gallipolis, OH 45631Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1659388676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRUTH CORPORATE OFFICES",
            "address_2": "4016 OHIO RIVER ROAD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-1612",
            "fax_number": "304-675-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 2ND AVE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311022",
            "telephone_number": "740-441-0781",
            "fax_number": "740-441-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUTH PHARMACY OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "304-675-1612"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020968500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007830",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659388676",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074550",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227766013",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRUTH PHARMACY 21",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.