Active NPI
Ralph Richard Mace III, R. PH.
- Pharmacist
- Philippi, WV
National Provider Identifier
1669531950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5930
- Practice address
- 440 S Main St
Philippi, WV 26416-1240 - Phone
- (304) 457-4233
- Fax
- (304) 457-6760
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13962 | MD | |
| Pharmacist | 183500000X | 5930 | WV | Primary |
Addresses
Primary practice location
440 S Main St
Philippi, WV 26416-1240
Mailing address
303 S Main St
Philippi, WV 26416-1240
Phone (304) 457-4233
Other practice location 1
204 S Crim Ave
Belington, WV 26250-9662
Phone (304) 823-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5930 | Other | WV | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5930 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maces Pharmacy Inc | Past | Accepting new patients | |
| Mace'S Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Belington, WV
- NPI 1700600541
-
- Community/Retail Pharmacy
- Belington, WV
- NPI 1770841637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1669531950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S MAIN ST",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264161240",
"telephone_number": "304-457-4233",
"fax_number": "304-457-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 S MAIN ST",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264161240",
"telephone_number": "304-457-4233",
"fax_number": "304-457-6760"
}
],
"practiceLocations": [
{
"address_1": "204 S Crim Ave",
"address_purpose": "LOCATION",
"city": "Belington",
"state": "WV",
"postal_code": "262509662",
"country_code": "US",
"telephone_number": "304-823-1001",
"fax_number": "304-823-1006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACE",
"first_name": "RALPH",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "13962",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "5930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5930",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philippi, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.