Paul G. Stakias

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550209 Issued in WV

Legal business name

PAUL G. STAKIAS

Doing business as

PENN WAY PHARMACY
PennWay Pharmacy

Practice address

3159 Main St
Weirton, WV 26062-4711

Phone

(304) 748-0505

Fax

(304) 748-4436

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Paul G Stakias

Title

Owner

Phone

(304) 748-0505

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• PENN WAY PHARMACY Doing business as
• PennWay Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1851460703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624711",
            "telephone_number": "304-748-0505",
            "fax_number": "304-748-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624711",
            "telephone_number": "304-748-0505",
            "fax_number": "304-748-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL G. STAKIAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "STAKIAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-748-0505"
    },
    "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": "SP0550209",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142197000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109491",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN WAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PennWay Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patience & Care Homecare Solutions LLC
• Patrick G. Rosario,MD
• Carol Lynn Patrick, RN
• Larry M. Patrick, LICSW
• Judith Patton
• Sherry Craig Paull
• Sandra Pearce
• William J Pearl, LCSW, LPC
• Judith Peckens, RPH
• Leon J. Pendracky, OD

• Community/Retail Pharmacy in Weirton, WV
• Providers in Weirton, 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 Oct 11, 2019; 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.