NPIMap

Organization Active NPI

Preston-Taylor Community Health Centers Incorporated

Doing business as Preston Taylor Pharmacy #2

  • Pharmacy
  • Thomas, WV
National Provider Identifier
1962876110
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
MP0552420 Issued in WV
Legal business name
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED
Doing business as
Preston Taylor Pharmacy #2
Practice address
30 Cortland Acres LN
Thomas, WV 26292-8066
Phone
(304) 463-4200
Fax
(304) 463-4201
NPI assigned
Nov 25, 2015
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Kristen WhiteNPI 1184900573
Title
Pic
Phone
(304) 463-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X MP0552420 WV Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

30 Cortland Acres LN
Thomas, WV 26292-8066

Mailing address

30 Cortland Acres LN
Thomas, WV 26292-8066
Phone (304) 463-4200

Other identifiers 1

IdentifierTypeStateIssuer
2155503OtherPK

Other names 1

  • Preston Taylor Pharmacy #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Eye Care15 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1962876110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CORTLAND ACRES LN",
            "city": "THOMAS",
            "state": "WV",
            "postal_code": "262928066",
            "telephone_number": "304-463-4200",
            "fax_number": "304-463-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CORTLAND ACRES LN",
            "city": "THOMAS",
            "state": "WV",
            "postal_code": "262928066",
            "telephone_number": "304-463-4200",
            "fax_number": "304-463-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "304-463-4200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "MP0552420",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155503",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preston Taylor Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomas, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.