NPIMap

Organization Active NPI

Camden on Gauley Medical Center Inc

  • Clinic Pharmacy
  • Camden on Gauley, WV
National Provider Identifier
1801935242
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
SP0550588 Issued in WV
Legal business name
CAMDEN ON GAULEY MEDICAL CENTER INC
Practice address
10003 Webster Rd.
Camden on Gauley, WV 26208-0069
Phone
(304) 226-5725
Fax
(304) 226-3274
NPI assigned
Feb 5, 2007
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
Margaret Hickey
Title
Ceo
Phone
(304) 226-5725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0005879 WV
Clinic Pharmacy 3336C0002X SP0550588 WV Primary

Addresses

Primary practice location

10003 Webster Rd.
Camden on Gauley, WV 26208-0069

Mailing address

PO Box 69
Camden on Gauley, WV 26208-0069
Phone (304) 226-5725

Other identifiers 1

IdentifierTypeStateIssuer
SP0550588OtherWVREGISTERED PHARMACY PERMI

Other names 1

  • Camden On Gauley Medical Center Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Camden on Gauley Medica21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1801935242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262080069",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 WEBSTER RD.",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262080069",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN ON GAULEY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-226-5725"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0005879",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WV",
            "license": "SP0550588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACY PERMI",
            "identifier": "SP0550588",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden On Gauley Medical Center Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camden on Gauley, 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.