PHARMACY ASSOCIATES, INC

Provider Demographics

• NPI: 1821057316
• Name: PHARMACY ASSOCIATES, INC
• Entity Type: Organization
• Organization Name: PHARMACY ASSOCIATES, INC
• Other - Org Name: PURSUECARERX PHARMACY
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: VP,PHARMACY
• Authorized Official - Prefix: MS
• Authorized Official - First Name: BRANDY
• Authorized Official - Middle Name: GRACE
• Authorized Official - Last Name: ALLEN
• Authorized Official - Phone: 941-877-0703
• Mailing Address - Street 1: 1308 4TH AVE
• Mailing Address - City: HUNTINGTON
• Mailing Address - State: WV
• Mailing Address - Zip Code: 25701-2401
• Mailing Address - Country: US
• Mailing Address - Phone: 304-525-1222
• Mailing Address - Fax: 304-525-6591
• Practice Address - Street 1: 1308 4TH AVE
• Practice Address - City: HUNTINGTON
• Practice Address - State: WV
• Practice Address - Zip Code: 25701-2401
• Practice Address - Country: US
• Practice Address - Phone: 304-525-1222
• Practice Address - Fax: 304-525-6591
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-03-22
• Last Update Date: 2022-01-19

Provider Licenses

State	License ID	Taxonomies
WV	SPO550060	333600000X
		3336C0003X, 3336C0004X, 3336H0001X, 3336M0002X, 3336S0011X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	333600000X	Suppliers	Pharmacy
No	3336C0003X	Suppliers	Pharmacy	Community/Retail Pharmacy
No	3336C0004X	Suppliers	Pharmacy	Compounding Pharmacy
No	3336H0001X	Suppliers	Pharmacy	Home Infusion Therapy Pharmacy
No	3336M0002X	Suppliers	Pharmacy	Mail Order Pharmacy
No	3336S0011X	Suppliers	Pharmacy	Specialty Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NJ	5138507	Medicaid
OH	0670939	Medicaid
IN	200088730A	Medicaid
NH	3119970	Medicaid
NY	01912050	Medicaid
IA	0553982	Medicaid
OK	100246280B	Medicaid
MD	777902000	Medicaid
VA	8509620	Medicaid
WV	0144228000	Medicaid
	5010094	Other	NCPDP
SC	7W0060	Medicaid
ID	806956000	Medicaid
AZ	969777	Medicaid
MT	0230163	Medicaid
MI	5010094	Medicaid
KY	54022454	Medicaid
	5010094	Other	NCPDP
AZ	969777	Medicaid