Organization Active NPI

Cameron Drug Store, Inc

  • Community/Retail Pharmacy
  • Cameron, WV
National Provider Identifier
1679764674
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552278 Issued in WV
Legal business name
CAMERON DRUG STORE, INC
Practice address
1 Bridge St
Cameron, WV 26033-1130
Phone
(304) 686-2101
NPI assigned
Aug 5, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Charles E Okel Jr.NPI 1942345798
Title
Owner
Phone
(304) 686-2101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0552278 WV Primary

Addresses

Primary practice location

1 Bridge St
Cameron, WV 26033-1130

Mailing address

1 Bridge St
Cameron, WV 26033-1130

Other identifiers 1

IdentifierTypeStateIssuer
0139859000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1 Bridge St
Cameron, WV 26033
Phone (304) 686-2101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1679764674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST",
            "city": "CAMERON",
            "state": "WV",
            "postal_code": "260331130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST",
            "city": "CAMERON",
            "state": "WV",
            "postal_code": "260331130",
            "telephone_number": "304-686-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "OKEL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-686-2101",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139859000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.