Gassaway Drug Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550848 Issued in WV

Legal business name

GASSAWAY DRUG COMPANY

Doing business as

Carl Walkers Drugstore

Practice address

620 Elk St
Gassaway, WV 26624-1136

Phone

(304) 364-5193

Fax

(304) 364-5313

NPI assigned

Oct 10, 2005

Last updated

Sep 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank Grindo

Title

Owner

Phone

(304) 364-5193

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CARL WALKERS DRUGSTORE Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Highlander Pharmacy Inc.

  dba Highlander Pharmacy

  • Community/Retail Pharmacy
  • Webster Springs, WV
  • NPI 1518955103

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Highlander Pharmacy Inc.

  dba Highlander Pharmacy

  • Community/Retail Pharmacy
  • Webster Springs, WV
  • NPI 1518955103

  Member Of

  NPD member

Locations

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.

• Tim A Robbins, PHARMD

  • Pharmacist
  • Marlinton, WV
  • NPI 1932383049
  NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1700874278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ELK ST",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "266241136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ELK ST",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "266241136",
            "telephone_number": "304-364-5193",
            "fax_number": "304-364-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASSAWAY DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "GRINDO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-364-5193"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8884830801",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5002100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARL WALKERS DRUGSTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Nicole Fields, LPN
• Stacy Fisher
• Micaila Lynn Fleming
• Tessa Marie Fleming
• Darla Kay Gant, M.D.
• Gassaway Glenville Physical Therapy Specialists
• Gassaway Glenville Physical Therapy Specialits, Inc
• Elizabeth Suzanne Gibson, PT
• Kathryn Giles
• Alana A Gillenwater, DPT

• Community/Retail Pharmacy in Gassaway, WV
• Providers in Gassaway, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.