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FRUTH PHARMACY #105
NPI 1578033841
Pharmacy in Charleston, WV

Active since November 29, 2018CLIA 51D2159657 · Waiver
10 SPRING ST, CHARLESTON, WV 25302(304) 593-9975 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2020, Nov 29, 2018 (2 updates tracked since 2018).

About Fruth Pharmacy #105 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRUTH PHARMACY #105 (NPI 1578033841) is a healthcare organization registered as a pharmacy in Charleston, West Virginia and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Andrew Thomas Becker, Director Of Pharmacy Administration, as its authorized official.

NPPES Registry Identity

NPI1578033841
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFRUTH PHARMACY INC
Location Address10 SPRING STCharleston, WV 25302-3745
Mailing Address10 Spring StCharleston, WV 25302-3745 · (304) 593-9975
Phone(304) 593-9975
Organization SubpartYesParent: Fruth Inc
Authorized OfficialAndrew Thomas BeckerDirector Of Pharmacy Administration · (304) 675-1612
Enumeration DateNovember 29, 2018
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1578033841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
10 SPRING ST, Charleston, WV 25302
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Other Names 1

Doing Business AsFruth Pharmacy #105

Other Identifiers 1

Medicaid0552542WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2159657

Fruth Pharmacy #105 · Charleston, WV
Active · expires Dec 20, 2026
CLIA Number51D2159657
Laboratory TypePharmacy
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorMr. Charles Massy
Laboratory Phone(304) 553-0320
Laboratory LocationFruth Pharmacy #10510 Spring Street, Charleston, WV 25302
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fruth Pharmacy Inc's NPI number?

The NPI number for Fruth Pharmacy Inc is 1578033841. It was assigned to this organization in the NPPES registry on November 29, 2018. The provider is doing business as Fruth Pharmacy #105.

Where is Fruth Pharmacy Inc located?

Fruth Pharmacy Inc is located at 10 Spring St, Charleston, WV 25302. The listed phone number is (304) 593-9975.

What is Fruth Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Fruth Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2159657) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fruth Pharmacy Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Fruth Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fruth Pharmacy Inc was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.