JUDYS DRUG STORE INC (NPI# 1295739654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295739654 |
| Entity Type | Organization |
| Organization Name | JUDYS DRUG STORE INC |
| Other Organization Name | JUDYS DRUG STORE INC |
| Practice Address |
24 N Main St Petersburg WV 26847-1518 |
| Practice Telephone | 3042571044 |
| Practice Fax Number | 3042572681 |
| Mailing Telephone | 3042571044 |
| Mailing Fax Number | 3042572681 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | EMILY JUDY (PRESIDENT) |
| Authorized Official Telephone | 3042571044 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
SP0550070 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2109313 | 01 | |
| WV | 0141999000 | 05 |
| Other Name | Type Code |
|---|---|
| JUDYS DRUG STORE INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851769 | Judys Drug Store Inc | Clinical Medical Laboratory | 24 N Main St, Petersburg, WV 26847-1518 | 2005-06-14 |
| Street Address |
24 N MAIN ST |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356892525 | Randall Scott Junkins | Pharmacist | 24 N Main St, Petersburg, WV 26847-1518 | 2016-10-21 |
| 1679574305 | Laura Camille Yokum | Dietitian, Registered | 24 N Main St, Petersburg, WV 26847-1518 | 2005-08-03 |
| 1063411593 | Cassandra B Ford | Pharmacist | 24 N Main St, Petersburg, WV 26847-1518 | 2005-07-18 |
| 1215935309 | Teresa Pennington | Registered Nurse | 24 N Main St, Petersburg, WV 26847-1518 | 2005-07-12 |
| 1407851769 | Judys Drug Store Inc | Clinical Medical Laboratory | 24 N Main St, Petersburg, WV 26847-1518 | 2005-06-14 |
| 1669476040 | Emily C Judy | Pharmacist | 24 N Main St, Petersburg, WV 26847-1518 | 2005-06-13 |
| 1235133638 | Kimberly R Arbaugh | Pharmacist | 24 N Main St, Petersburg, WV 26847-1518 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1477568434 | Walgreen Co | Pharmacy | 3298 S Crater Rd, Petersburg, VA 23805-9217 | 2006-07-29 |
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| 1598145724 | Gleason Pharmacy Services Inc | Pharmacy | 200 S 6th St, Petersburg, IL 62675-1553 | 2015-06-03 |
| 1538259403 | Petersburg Pharmacy, Inc | Pharmacy | 1 Centre Dr, Suite 100, Petersburg, IL 62675-9467 | 2006-10-13 |
| 1497858104 | Hook Superx LLC | Pharmacy | 200 W Main St, Petersburg, IN 47567-8525 | 2006-09-07 |
| 1083613178 | Clay Pharmaceuticals Inc | Pharmacy | 518 S Sycamore St, Petersburg, VA 23803-5038 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
Please comment or provide details below to improve the information on JUDYS DRUG STORE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.