Active NPI
Slade Mathew McDowell, RPH
- Pharmacist
- Ranson, WV
National Provider Identifier
1891300760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0012250
- Practice address
- 74 Joshua M Freeman Blvd
Ranson, WV 25438-5694 - Phone
- (304) 206-6923
- NPI assigned
- Sep 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0012250 | WV | Primary |
Addresses
Primary practice location
74 Joshua M Freeman Blvd
Ranson, WV 25438-5694
Mailing address
292 Posting Way
Charles Town, WV 25414-9324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0012250 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1891300760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 POSTING WAY",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254149324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 JOSHUA M FREEMAN BLVD",
"city": "RANSON",
"state": "WV",
"postal_code": "254385694",
"telephone_number": "304-206-6923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "SLADE",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0012250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ranson, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.