Med-mart Pharmacy Llc, NPI 1386131050
Pharmacy in Fairmont, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1386131050
NPI Entity Type Organization
Provider Name Med-mart Pharmacy Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 181 Middletown Cir, Fairmont, WV, US
Provider Mailing Address 2524 Sun Trl, Morgantown, WV, US, 265051131
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Ibrahim Kaddourah
Official Position OWNER/PIC
Phone 304-367-9122

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. SP0552522
License State WV
Description 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.

Other Organization Name

MED-MART PHARMACY FAIRMONT
Doing Business As

Business Address

Med-mart Pharmacy Llc
181 Middletown Cir

Fairmont, WV, US

Phone: 304-367-9122
Fax: 304-367-9125

Mailing Address

Med-mart Pharmacy Llc
2524 Sun Trl
Morgantown, WV, US
ZIP 265051131
Phone: 304-690-6165

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

No

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

Jennifer Knight

Individual

Home Health Registered Nurse

829 Fairmont Rd

Morgantown, WV

1154046514

MR. Wayne Matthew Bachelor

Individual

Peer Specialist

1057 6th Ave

Huntington, WV

1730804188

Melissa Jones

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1114642568

Gideon Mossor

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1982329330

Tanisha Wilson

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1164147500

Deloris Ann Hopkins

Individual

Home Health Aide

42 Parrish Ln

Ashford, WV

1255056693

Elizabeth Neal

Individual

Homemaker

1614 S Kanawha St

Beckley, WV

1629793054

Luke Petrice

Individual

Case Manager/Care Coordinator

710 Maple St

Elkins, WV

1588389910

Joshua Riley

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1992420319

Karie Morrison

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1275258691

Katelyn Lucas

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1558086975

Jenna Taylor

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1740905165

Tisean Jayree Walker

Individual

Personal Care Attendant

1650 Glenway Ln

Huntington, WV

1922723345

Montana Wallace

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1033834452

Natasha Sharon Sexton

Individual

Personal Care Attendant

400 Bluefield St Lot 16

Wayne, WV

1770208191

Katheryn Joyce Bailey

Individual

Personal Care Attendant

1236 Madison Ave

Huntington, WV

1518682939

Alexis Perry

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1174248587

Stevie Dawn Cline

Individual

Personal Care Attendant

695 Mountaineer Hwy

Mullens, WV

1003531419

Britney Brogan

Individual

School Registered Nurse

267 Midway Rd

Alum Creek, WV

1689399099

Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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