1043379993 NPI number — HOOD'S PHARMACY INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043379993 NPI number — HOOD'S PHARMACY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOOD'S PHARMACY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TRAUBERT'S PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043379993
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 455
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOLLANSBEE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26037-0455
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-527-3269
Provider Business Mailing Address Fax Number:
304-527-3413

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1429 COMMERCE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WELLSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26070-1320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-737-0383
Provider Business Practice Location Address Fax Number:
304-737-2531
Provider Enumeration Date:
12/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOOD
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
304-527-0150

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0142340000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2109496 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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