Organization Active NPI

B & W Pharmacy, Inc.

  • Pharmacist
  • Beverly, OH
National Provider Identifier
1992734735
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
02-0084350 Issued in OH
Legal business name
B & W PHARMACY, INC.
Practice address
501 Dietz Lane
Beverly, OH 45715
Phone
(740) 984-2305
Fax
(740) 984-2522
NPI assigned
Jul 2, 2006
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mr. Chadwick Ryan Huck, R.PH.NPI 1568475184
Title
Junior Partner/Pharmacist
Phone
(740) 984-2305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 02-0084350 OH Primary

Addresses

Primary practice location

501 Dietz Lane
Beverly, OH 45715

Mailing address

PO Box 697
Beverly, OH 45715
Phone (740) 984-2305

Other identifiers 1

IdentifierTypeStateIssuer
0183297MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930001540 OH DME Supplier - Pharmacy 5294853628 Practice locations: Beverly, OH
O20120828000374 OH Part B Supplier - Mass Immunization (Roster Biller Only) 5294853628 Practice locations: Beverly, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2212285B & W Pharmacy, Inc501 Dietz Lane, Beverly, OH 45715Certificate of waiverFeb 2, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
B & W Pharmacy Inc501 Dietz Lane, Beverly, OH 45715(740) 984-2305 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Insulin Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve St… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1992734735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "BEVERLY",
            "state": "OH",
            "postal_code": "45715",
            "telephone_number": "740-984-2305",
            "fax_number": "740-984-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DIETZ LANE",
            "city": "BEVERLY",
            "state": "OH",
            "postal_code": "45715",
            "telephone_number": "740-984-2305",
            "fax_number": "740-984-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & W PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "HUCK",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "JUNIOR PARTNER/PHARMACIST",
        "authorized_official_telephone_number": "740-984-2305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "02-0084350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183297",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.