NPIMap

Organization Active NPI

Bypass Pharmacy, Inc

  • Community/Retail Pharmacy
  • Beckley, WV
National Provider Identifier
1760793772
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552407 Issued in WV
Legal business name
BYPASS PHARMACY, INC
Doing business as
BYPASS PHARMACY
Practice address
104 S Eisenhower Dr
Beckley, WV 25801-4930
Phone
(304) 256-2006
Fax
(304) 860-1968
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Siddarthan Ilangovan
Title
President
Phone
(304) 222-3064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0552407 WV Primary

Addresses

Primary practice location

104 S Eisenhower Dr
Beckley, WV 25801-4930

Mailing address

104 S Eisenhower Dr
Beckley, WV 25801-4930
Phone (304) 256-2006

Other identifiers 1

IdentifierTypeStateIssuer
5055252OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BYPASS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1760793772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014930",
            "telephone_number": "304-256-2006",
            "fax_number": "304-860-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014930",
            "telephone_number": "304-256-2006",
            "fax_number": "304-860-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYPASS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "ILANGOVAN",
        "authorized_official_first_name": "SIDDARTHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-222-3064"
    },
    "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": "SP0552407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5055252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BYPASS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.