NPIMap

Organization Active NPI

Discount Emporium Inc

Doing business as Drug Emporium

  • Community/Retail Pharmacy
  • Charleston, WV
National Provider Identifier
1962509703
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
MP0550201 Issued in WV
Legal business name
DISCOUNT EMPORIUM INC
Doing business as
Drug Emporium
Practice address
5101 Maccorkle Ave SE
Charleston, WV 25304-2148
Phone
(304) 925-8022
Fax
(304) 925-2915
NPI assigned
Sep 20, 2006
Last updated
Feb 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Jerry Leonard
Title
V.P of Pharmacy Services
Phone
(304) 345-4836

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X MP0550201 WV Primary

Addresses

Primary practice location

5101 Maccorkle Ave SE
Charleston, WV 25304-2148

Mailing address

1601 Kanawha Blvd W
Su 200
Charleston, WV 25387-2539
Phone (304) 345-4836

Other identifiers 2

IdentifierTypeStateIssuer
0140530000MedicaidWV
2110658OtherPK

Other names 1

  • DRUG EMPORIUM Doing business as

National Provider Directory

National Provider Directory

Locations

1603 Kanawha Blvd W
Charleston, WV 25387
Phone (304) 345-3784

1601 Kanawha Blvd W
Ste 200
Charleston, WV 25387
Phone (304) 345-4836

5101 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-8022

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1962509703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 KANAWHA BLVD W",
            "address_2": "SU 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872539",
            "telephone_number": "304-345-4836",
            "fax_number": "304-345-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042148",
            "telephone_number": "304-925-8022",
            "fax_number": "304-925-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOUNT EMPORIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "V.P OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "304-345-4836"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "MP0550201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140530000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110658",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG EMPORIUM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.