Alan Russell McDilda II, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0007171 Issued in WV

Practice address

425 Camden Rd
Huntington, WV 25704-2708

Phone

(304) 429-5544

NPI assigned

Apr 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fruth Pharmacy Inc

  • Pharmacy
  • Huntington, WV
  • NPI 1538611520
  NPD (past)

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1992292379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CAMDEN RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257042708",
            "telephone_number": "304-429-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CAMDEN RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257042708",
            "telephone_number": "304-429-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDILDA",
        "first_name": "ALAN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129921",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015864",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF PHARMACY",
            "identifier": "015864",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF PHARMACY",
            "identifier": "03129921",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA BOARD OF PHARMACY",
            "identifier": "RP0007171",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Ann McCoy
• Erica Marie McCrary, MA
• Adam McCune
• Patricia Mary McDaniel
• Todd O McDaniel, RN, MSN, FNP-C
• Duane McDonald
• Sandra K McDonald, CRNA
• Kamryn McDowell
• Savannah McDowell
• Dennis P McEldowney, R.PH

• All providers in Huntington, WV
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.