NPIMap

Organization Active NPI

Decaria Brothers Inc

Doing business as Marland Heights Pharmacy

  • Pharmacy
  • Weirton, WV
National Provider Identifier
1750379285
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
SP0550376 Issued in WV
Legal business name
DECARIA BROTHERS INC
Doing business as
Marland Heights Pharmacy
Practice address
3901 Brightway St
Weirton, WV 26062-4332
Phone
(304) 748-8464
NPI assigned
Oct 10, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Anthony J Decaria, RPHNPI 1255434577
Title
Pharmacist/Owner
Phone
(330) 385-0825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X SP0550376 WV Primary

Addresses

Primary practice location

3901 Brightway St
Weirton, WV 26062-4332

Mailing address

3901 Brightway St
Weirton, WV 26062-4332
Phone (304) 748-8464

Other identifiers 3

IdentifierTypeStateIssuer
SP0550376MedicaidWV
5011236MedicaidWV
5011236OtherNABP

Other names 1

  • MARLAND HEIGHTS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3901 Brightway St
Weirton, WV 26062
Phone (304) 748-8464

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750379285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BRIGHTWAY ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624332",
            "telephone_number": "304-748-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BRIGHTWAY ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624332",
            "telephone_number": "304-748-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECARIA BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DECARIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "330-385-0825",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0550376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP0550376",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5011236",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5011236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARLAND HEIGHTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.