JUDYS DRUG STORE INC (NPI# 1407851769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407851769 |
| Entity Type | Organization |
| Organization Name | JUDYS DRUG STORE INC |
| Other Organization Name | JUDYS HEALTH EDUCATION SERVICES |
| 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 | 2005-06-14 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | DARIN C JUDY (VICE PRESIDENT) |
| Authorized Official Telephone | 3042571044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 51D1024349 | WV | Laboratories |
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
30 | WV | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0141999000 | 05 |
| Other Name | Type Code |
|---|---|
| JUDYS HEALTH EDUCATION SERVICES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739654 | Judys Drug Store Inc | Pharmacy | 24 N Main St, Petersburg, WV 26847-1518 | 2005-06-13 |
| Street Address |
24 N MAIN ST |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739654 | Judys Drug Store Inc | Pharmacy | 24 N Main St, Petersburg, WV 26847-1518 | 2005-06-13 |
| 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 |
| 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 | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078950 | Advanced Nutrition Solutions | Nutritionist | 213 Stewart Acres, Winfield, WV 25213-9716 | 2019-11-18 |
| 1174738454 | Elizabeth L Quintana | Nutritionist | 1 Medical Center Drive, Morgantown, WV 26506 | 2007-05-11 |
| 1275600793 | Mary Kathryn Saville | Nutritionist | 208 7th Ave, South Charleston, WV 25303-1510 | 2006-11-29 |
| 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.