NPIMap

Organization Active NPI

Herbert J Thomas Memorial Hospital Association

  • Community/Retail Pharmacy
  • South Charleston, WV
National Provider Identifier
1952090672
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Practice address
4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone
(304) 391-5130
Fax
(304) 391-5131
NPI assigned
May 8, 2023
Organization subpart
Yes
Parent organization
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Amy Good
Title
Director It
Phone
(304) 414-6145

Specialties & licenses 1

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

Addresses

Primary practice location

4619 Kanawha Ave SW
South Charleston, WV 25309-1319

Mailing address

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 391-5130

Other identifiers 1

IdentifierTypeStateIssuer
MP0552577OtherWVLICENSE NUMBER

Other names 1

  • Thomas Pharmacy-Kanawha Ave SW Other name

National Provider Directory

National Provider Directory
Tax ID family
Rodney Dean MD PLLC19 organizations share this tax ID, including this one
Part of
Rodney Dean MD PLLC

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1952090672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-391-5130",
            "fax_number": "304-391-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-391-5130",
            "fax_number": "304-391-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR IT",
        "authorized_official_telephone_number": "304-414-6145"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MP0552577",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Pharmacy-Kanawha Ave SW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.