Theodore Ameredes, R.PH.
Individual provider Active NPI Pharmacist · Weirton, WV
NPI 1700993102 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700993102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3043 (WV)
- Practice address
- 265 Penco Rd
Weirton, WV 26062-3816 - Phone
- (304) 723-2656
- Fax
- (304) 723-2657
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loucas Karnoupakis Enterprises | Pharmacist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3043 | WV | Yes |
Addresses
Primary practice location
265 Penco Rd
Weirton, WV 26062-3816
Mailing address
265 Penco Rd
Weirton, WV 26062-3816
Phone (304) 723-2656
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.