NPIMap

Organization Active NPI

Alum Creek Pharmacy,Inc

  • Community/Retail Pharmacy
  • Alum Creek, WV
National Provider Identifier
1861732018
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552444 Issued in WV
Legal business name
ALUM CREEK PHARMACY,INC
Practice address
2162 Childress Rd
Alum Creek, WV 25003-9546
Phone
(304) 756-2180
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Philip Michael
Title
Owner
Phone
(304) 546-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0552444 WV Primary

Addresses

Primary practice location

2162 Childress Rd
Alum Creek, WV 25003-9546

Mailing address

PO Box 95
Alum Creek, WV 25003-0095
Phone (304) 756-2180

Other identifiers 1

IdentifierTypeStateIssuer
5055795OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ALUM CREEK PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1861732018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "ALUM CREEK",
            "state": "WV",
            "postal_code": "250030095",
            "telephone_number": "304-756-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 CHILDRESS RD",
            "city": "ALUM CREEK",
            "state": "WV",
            "postal_code": "250039546",
            "telephone_number": "304-756-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALUM CREEK PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-546-7722"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5055795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALUM CREEK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alum Creek, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.