Provider Demographics
NPI:1326446451
Name:PHARMACY ASSOCIATES INC
Entity Type:Organization
Organization Name:PHARMACY ASSOCIATES INC
Other - Org Name:COMPRECARE SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:304-529-2143
Mailing Address - Street 1:1308 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-2401
Mailing Address - Country:US
Mailing Address - Phone:304-529-2143
Mailing Address - Fax:304-781-1365
Practice Address - Street 1:1308 4TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2401
Practice Address - Country:US
Practice Address - Phone:304-529-2143
Practice Address - Fax:304-781-1365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSP0550060332B00000X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV040185001Medicaid
1821057316OtherNPI
WV0144228000Medicare NSC