Bruceton Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552469 Issued in WV

Legal business name

BRUCETON PHARMACY

Practice address

198 Morgantown St , Suite 1
Bruceton Mills, WV 26525

Phone

(304) 379-6929

Fax

(304) 379-6930

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Tingler, PHARMD

Title

Owner

Phone

(304) 670-3678

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Attarabeen, M.S., PH.D., R.PH.,

  • Pharmacist
  • Bruceton Mills, WV
  • NPI 1922477637
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1902223340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265250010",
            "telephone_number": "304-379-6929",
            "fax_number": "304-379-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MORGANTOWN ST , SUITE 1",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "26525",
            "telephone_number": "304-379-6929",
            "fax_number": "304-379-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCETON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "TINGLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-670-3678",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruceton Dental PLLC
• Bruceton Family Medicine LLC
• Bruceton Medical Center
• Bruceton Mill Community Ambulance, Inc.
• Bruceton Mills Family Dentistry
• Bruceton Wellness Center PLLC
• Savannah Bryner
• Cheyenne Carter
• Kathy Chidester
• Patricia Diane Corbin, PA-C

• Community/Retail Pharmacy in Bruceton Mills, WV
• Providers in Bruceton Mills, 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 Mar 24, 2014; 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.