Community Prescription Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0551274 Issued in WV

Legal business name

COMMUNITY PRESCRIPTION CENTER INC

Doing business as

Man Pharmacy

Practice address

124 Main St
Man, WV 25635-1212

Phone

(304) 583-9910

Fax

(304) 583-9929

NPI assigned

Nov 8, 2006

Last updated

Jul 30, 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

Terri Doss, RPHNPI 1225175102

Title

Owner

Phone

(304) 583-9910

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MAN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

Tax ID family

Community Prescription Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Prescription Center Inc

  dba Man Pharmacy

  • Long Term Care Pharmacy
  • Man, WV
  • NPI 1093327272
  NPD tax ID

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.

• Terri D Doss, RPH

  • Pharmacist
  • Man, WV
  • NPI 1225175102
  NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1932279015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256350426",
            "telephone_number": "304-583-9910",
            "fax_number": "304-583-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351212",
            "telephone_number": "304-583-9910",
            "fax_number": "304-583-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-583-9910",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0551274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111296",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141493000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Health Foundation
• Community Health Foundation
• Community Health Foundation
• Community Health Foundation of Man WV
• Community Prescription Center Inc (Man Pharmacy)
• Connie Dale Cook II, PAC
• Haley Crum, FNP-BC
• Terri D Doss, RPH
• Taylor Duncan, PHARMD
• Jonathan Matthew Ellis, B.S., D.C.

• Community/Retail Pharmacy in Man, WV
• Providers in Man, 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 Jul 30, 2014; 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.