Individual provider Active NPI

Ralph Richard Mace III, R. PH.

  • Pharmacist
  • Philippi, WV
National Provider Identifier
1669531950
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5930 Issued in WV
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

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5930OtherWVSTATE 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

LicenseStateTypeSpecialty
5930WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maces Pharmacy Inc Past Accepting new patients
Mace'S Pharmacy, Inc. PastSince Nov 10, 2024 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.

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.

Verify at the official NPI Registry.