Preston Taylor Community Health Centers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552353 Issued in WV

Legal business name

PRESTON TAYLOR COMMUNITY HEALTH CENTERS INC

Doing business as

PRESTON TAYLOR PHARMACY

Practice address

25 W Bluemont St
Grafton, WV 26354-1242

Phone

(304) 265-7400

Fax

(304) 265-7401

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

June Griffith

Title

Chief Exec Officer

Phone

(304) 265-0312

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PRESTON TAYLOR PHARMACY Doing business as

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1760601850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263540188",
            "telephone_number": "304-265-7400",
            "fax_number": "304-265-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W BLUEMONT ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541242",
            "telephone_number": "304-265-7400",
            "fax_number": "304-265-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON TAYLOR COMMUNITY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "CHIEF EXEC OFFICER",
        "authorized_official_telephone_number": "304-265-0312"
    },
    "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": "SP0552353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111639",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008948",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTON TAYLOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRESTON TAYLOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy May Poe
• Cynthia Poling
• Janice Poling
• Savannah M Posey
• Preston Memorial Medical Group
• Preston Taylor Community Health Centers Incorporated
• Preston Taylor Community Health Centers Incorporated
• Preston Taylor Community Health Centers, Incorporated
• Preston Taylor Community Health Centers, Incorporated
• Preston Taylor Community Health Centers, Incorporated

• Community/Retail Pharmacy in Grafton, WV
• Providers in Grafton, 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 Feb 3, 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.