NPI Code Detail JSON Logo

1457232399 NPI number — BLUESTONE PINNACLE PHARMACY

NPI Number: 1457232399
Health Care Provider/Practitioner: BLUESTONE PINNACLE PHARMACY

Information about “1457232399” NPI (BLUESTONE PINNACLE PHARMACY) exists in 1457232399 in HTML format HTML  |  1457232399 in plain Text format TXT  |  1457232399 in PDF (Portable Document Format) PDF  |  1457232399 in an XML format XML  formats.

NPI Number : 1457232399 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457232399",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BLUESTONE HEALTH ASSOCIATION, INC.",
    "ParentOrgTIN": null,
    "OrgName": "BLUESTONE PINNACLE PHARMACY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3997 BECKLEY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRINCETON",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "24740-7660",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-228-4233",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "140 MAJESTIC PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUEWELL",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "24701-9170",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-409-6510",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/09/2025",
    "LastUpdateDate": "09/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PLUMLEY",
    "AuthorizedOfficialFirstName": "SUSAN",
    "AuthorizedOfficialMiddleName": "ESTHER",
    "AuthorizedOfficialTitle": "CHIEF OPERATIONS OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "304-431-5499",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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