NPIMap

Organization Active NPI

Boone Memorial Hospital, Inc

  • Community/Retail Pharmacy
  • Madison, WV
National Provider Identifier
1679073779
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BOONE MEMORIAL HOSPITAL, INC
Practice address
697 Madison Avenue
Suite B
Madison, WV 25130-2513
Phone
(304) 369-1230
Fax
(304) 369-1525
NPI assigned
Feb 15, 2018
Last updated
Feb 15, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BOONE MEMORIAL HOSPITAL, INC.,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
David H Gresham
Title
Chief Development Officer
Phone
(304) 369-2932

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X WV
Community/Retail Pharmacy 3336C0003X WV Primary
Home Infusion Therapy Pharmacy 3336H0001X WV

Addresses

Primary practice location

697 Madison Avenue
Suite B
Madison, WV 25130-2513

Mailing address

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

Other names 1

  • BMH OUTPATIENT PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Boone Memorial Hospital Inc11 organizations share this tax ID, including this one
Part of
Boone Memorial Hospital Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1679073779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301669",
            "telephone_number": "304-369-1230",
            "fax_number": "304-369-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MADISON AVENUE",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251302513",
            "telephone_number": "304-369-1230",
            "fax_number": "304-369-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOONE MEMORIAL HOSPITAL, INC.,",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "304-369-2932"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMH OUTPATIENT PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.