Organization Active NPI

Barboursville Family Pharmacy

  • Community/Retail Pharmacy
  • Barboursville, WV
National Provider Identifier
1669657649
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552321 Issued in WV
Legal business name
BARBOURSVILLE FAMILY PHARMACY
Practice address
6007 US Route 60 E
Suite 230
Barboursville, WV 25504-1042
Phone
(304) 302-0564
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mr. Brac Emery Brown, RPH
Title
President/Owner
Phone
(304) 204-2588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0552321 WV Primary

Addresses

Primary practice location

6007 US Route 60 E
Suite 230
Barboursville, WV 25504-1042

Mailing address

6007 US Route 60 E
Suite 230
Barboursville, WV 25504-1042
Phone (304) 302-0564

Other identifiers 1

IdentifierTypeStateIssuer
5054060OtherWVNABP

National Provider Directory

National Provider Directory

Locations

5150 US Route 60
Ste 230
Barboursville, WV 25504
Phone (304) 302-0564

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1669657649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 US ROUTE 60 E",
            "address_2": "SUITE 230",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041042",
            "telephone_number": "304-302-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 US ROUTE 60 E",
            "address_2": "SUITE 230",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041042",
            "telephone_number": "304-302-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBOURSVILLE FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRAC",
        "authorized_official_middle_name": "EMERY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "304-204-2588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5054060",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.