Active NPI
Christina Phalen
- Pharmacy Technician
- Charleston, WV
National Provider Identifier
1740638022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- TT0011251
- Practice address
- 701 Lee Street East
Charleston, WV 25301 - Phone
- (307) 720-8341
- Fax
- (304) 720-8343
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TT0011251 | WV | Primary |
Addresses
Primary practice location
701 Lee Street East
Charleston, WV 25301
Mailing address
701 Lee St E
Charleston, WV 25301-1706
Phone (304) 720-8341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TT0011251 | WV | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fruth Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Huntington, WV
- NPI 1538611520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1740638022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LEE ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011706",
"telephone_number": "304-720-8341",
"fax_number": "304-720-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 LEE STREET EAST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "307-720-8341",
"fax_number": "304-720-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHALEN",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WV",
"license": "TT0011251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.