NPIMap

Organization Active NPI

Fruth Pharmacy Inc

Doing business as Fruth Pharmacy 01

  • Community/Retail Pharmacy
  • Point Pleasant, WV
National Provider Identifier
1700891645
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0552297 Issued in WV
Legal business name
FRUTH PHARMACY INC
Doing business as
Fruth Pharmacy 01
Practice address
2501 Jackson Ave
Point Pleasant, WV 25550-2035
Phone
(304) 675-2303
Fax
(304) 675-7762
NPI assigned
Jul 29, 2006
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Andrew Becker
Title
Director of Pharmacy
Phone
(304) 675-1612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0552297 WV Primary

Addresses

Primary practice location

2501 Jackson Ave
Point Pleasant, WV 25550-2035

Mailing address

Fruth Corporate Offices
4016 Ohio River Road
Point Pleasant, WV 25550
Phone (304) 675-1612

Other identifiers 4

IdentifierTypeStateIssuer
0202720MedicaidOH
2109215OtherPK
0227766003MedicaidWV
1700891645MedicaidWV

Other names 1

  • FRUTH PHARMACY 01 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090724000389 WV Part B Supplier - Mass Immunization (Roster Biller Only) 3476606393 17 other NPIs on this enrollment
Practice locations: Hurricane, WV; Milton, WV; Mineral Wells, WV; Nitro, WV; Point Pleasant, WV; Ripley, WV; Scott Depot, WV; Spencer, WV…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1005632Fruth Pharmacy 12501 Jackson Avenue, Point Pleasant, WV 25550Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1700891645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRUTH CORPORATE OFFICES",
            "address_2": "4016 OHIO RIVER ROAD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-1612",
            "fax_number": "304-675-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JACKSON AVE",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255502035",
            "telephone_number": "304-675-2303",
            "fax_number": "304-675-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "304-675-1612"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "0552297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202720",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109215",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227766003",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700891645",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRUTH PHARMACY 01",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Point Pleasant, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.