NPIMap

Organization Active NPI

Fruth Pharmacy of Ohio Inc

Doing business as Fruth Pharmacy 16

  • Community/Retail Pharmacy
  • Waverly, OH
National Provider Identifier
1982619813
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020734000 Issued in OH
Legal business name
FRUTH PHARMACY OF OHIO INC
Doing business as
Fruth Pharmacy 16
Practice address
101 James Rd
Waverly, OH 45690-1017
Phone
(740) 947-5018
Fax
(740) 947-8628
NPI assigned
Jul 29, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Andrew Becker
Title
Director of Pharmacy
Phone
(304) 675-1612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020734000 OH Primary

Addresses

Primary practice location

101 James Rd
Waverly, OH 45690-1017

Mailing address

Fruth Corporate Offices
4016 Ohio River Road
Point Pleasant, WV 25550
Phone (304) 675-1612

Other identifiers 2

IdentifierTypeStateIssuer
2073088OtherPK
0911544MedicaidOH

Other names 1

  • FRUTH PHARMACY 16 Doing business as

National Provider Directory

National Provider Directory

Locations

101 James Rd
Waverly, OH 45690
Phone (740) 947-5018

Practitioners & affiliated clinicians

Practitioners 6

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1982619813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRUTH CORPORATE OFFICES",
            "address_2": "4016 OHIO RIVER ROAD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-1612",
            "fax_number": "304-675-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JAMES RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901017",
            "telephone_number": "740-947-5018",
            "fax_number": "740-947-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUTH PHARMACY OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "304-675-1612"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020734000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073088",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRUTH PHARMACY 16",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.