Jarrells Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550086 Issued in WV

Legal business name

JARRELLS PHARMACY INC

Doing business as

Jarrells Pharmacy Inc

Practice address

2122 Ritter Drive
Daniels, WV 25832

Phone

(304) 763-2442

Fax

(304) 763-4230

NPI assigned

Dec 13, 2006

Last updated

Feb 26, 2009By 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

Douglas Jarrell, PHRM

Title

Owner

Phone

(304) 763-2442

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JARRELLS PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jarrells Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Daniels, WV
  • NPI 1417138462

  O20100930027983

  Same enrollment

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jarrells Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Daniels, WV
  • NPI 1417138462
  NPPES parent name

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.

• Cynthia Walker, RPH

  • Pharmacist
  • Daniels, WV
  • NPI 1386008522
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1922169705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2027",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259182027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 RITTER DRIVE",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "25832",
            "telephone_number": "304-763-2442",
            "fax_number": "304-763-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRELLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-763-2442",
        "authorized_official_credential": "PHRM"
    },
    "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": "SP0550086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5008455",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139196000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JARRELLS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Houck
• Carrie Hudson
• Sadia Irfan
• Kristina James
• Jarrells Pharmacy Inc
• David Scott Kendrick, R.PH.
• Donna Kidwell
• Angela Lynn Kincaid
• Michael Merritt Kostenko, DO
• Karina Bryn Kwiatkowski, MS, MA

• Community/Retail Pharmacy in Daniels, WV
• Providers in Daniels, 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 Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.