Organization Active NPI

HTRX LLC

  • Community/Retail Pharmacy
  • Logan, WV
National Provider Identifier
1831863448
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HTRX LLC
Practice address
369 Hanging Rock Hwy
Logan, WV 25601-5105
Phone
(304) 752-0082
Fax
(304) 752-9600
NPI assigned
Aug 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Mrs. Terri Doss, RPHNPI 1225175102
Title
Pres./Owner
Phone
(304) 688-8952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

369 Hanging Rock Hwy
Logan, WV 25601-5105

Mailing address

369 Hanging Rock Hwy
Logan, WV 25601-5105
Phone (304) 752-0082

Other names 1

  • Hometown Rx Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230920003758 WV Part B Supplier - Pharmacy 4183014905 Practice locations: Logan, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2235919HTRX, LLC Dba Hometown RX Pharmacy369 Hanging Rock Hwy, Logan, WV 25601Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Locations

369 Hanging Rock Hwy
Logan, WV 25601
Phone (304) 752-0082

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1831863448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 HANGING ROCK HWY",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256015105",
            "telephone_number": "304-752-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 HANGING ROCK HWY",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256015105",
            "telephone_number": "304-752-0082",
            "fax_number": "304-752-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HTRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PRES./OWNER",
        "authorized_official_telephone_number": "304-688-8952",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.