JUDYS DRUG STORE INC NPI 1407851769

NPI Information

NPI: 1407851769
Provider Name: JUDYS DRUG STORE INC

Other Name: JUDYS HEALTH EDUCATION SERVICES

Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
24 N MAIN ST
PETERSBURG, WV
ZIP 26847
Phone: (304) 257-1044
Get Directions

JUDYS DRUG STORE INC is a nutrition and education nutritionist in Petersburg, WV. JUDYS DRUG STORE INC NPI is 1407851769. The provider is registered as an organization entity type.
The provider Other Name Is Judys Health Education Services.

The provider's business location address is:

24 N MAIN ST
PETERSBURG, WV
ZIP 26847-518
Phone: (304) 257-1044
Fax: (304) 257-2681

The provider's authorized official is Darin C Judy .
The authorized official title is Vice President and has the following contact phone number (304) 257-1044.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 4/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory		51D1024349	WEST VIRGINIA	No
2	261Q00000X	Clinic/Center				No
3	133NN1002X	Nutritionist	Nutrition, Education	30	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0141999000	MEDICAID	WEST VIRGINIA
2	=========	OTHER		TAX ID FOR INSURANCES
3	9344971	MEDICARE ID-TYPE UNSPECIFIED		PROVIDER NUMBER
4	Q372210001	MEDICARE PIN
5	FV95651	MEDICARE PIN
6	JU9344971	MEDICARE PIN	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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