Prescription Shop LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552384 Issued in WV

Legal business name

PRESCRIPTION SHOP LLC

Doing business as

The Prescription Shop LLC

Practice address

1212 Johnson Ave
Bridgeport, WV 26330-1354

Phone

(304) 842-3763

Fax

(304) 842-7648

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adam Joseph Starkey, RPH

Title

Owner

Phone

(304) 842-3763

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• THE PRESCRIPTION SHOP LLC Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1710908777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4638",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263304638",
            "telephone_number": "304-842-3763",
            "fax_number": "304-842-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 JOHNSON AVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301354",
            "telephone_number": "304-842-3763",
            "fax_number": "304-842-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "STARKEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-842-3763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5001021",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142324000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PRESCRIPTION SHOP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bridgeport, WV
• Providers in Bridgeport, 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 Apr 5, 2012; 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.