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WHITE HALL PHARMACY LLC
NPI 1114098134
Pharmacy - Community/Retail Pharmacy in Fairmont, WV

Active since November 13, 2006CLIA 51D1096083 · Waiver
1325 LOCUST AVE, FAIRMONT, WV 26554(304) 368-9355(304) 367-8601 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About White Hall Pharmacy Llc NPPES

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

WHITE HALL PHARMACY LLC (NPI 1114098134) is a healthcare organization registered as a community/retail pharmacy in Fairmont, West Virginia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Terri Vilain, Owner, as its authorized official.

NPPES Registry Identity

NPI1114098134
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWHITE HALL PHARMACY LLC
Location Address1325 LOCUST AVEFairmont, WV 26554-1435
Mailing Address1325 Locust AveFairmont, WV 26554-1435 · (304) 368-9355 · Fax (304) 367-8601
Phone(304) 368-9355
Fax(304) 367-8601
Organization SubpartNo
Authorized OfficialTerri VilainOwner · (304) 368-9355
Enumeration DateNovember 13, 2006
Last NPPES UpdateMarch 27, 2012
✔ NPI 1114098134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WV · SP0552374
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1325 LOCUST AVE, Fairmont, WV 26554
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Other Names 1

Doing Business AsWhite Hall Pharmacy Llc

Other Identifiers 2

Medicaid3810012153WV
Other5010905Ncpdp Provider Identification Number

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 51D1096083

White Hall Pharmacy LLC · Whitehall, WV
Active · expires Feb 24, 2027
CLIA Number51D1096083
Laboratory TypePharmacy
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorTerri Vilain
Laboratory Phone(304) 368-9355
Laboratory LocationWhite Hall Pharmacy LLC177 Middletown Road Suite 2, Whitehall, WV 26554
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA PULEO DO
Emergency Medicine
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 534-7810
KATHRYN NICOLE PREAST FNP-BC
Nurse Practitioner (Family)
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (814) 494-2542
MICHAEL L FERREBEE, M.D., PLLC
Emergency Medicine
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 367-7510
MARION LUNG CLINIC
Internal Medicine (Pulmonary Disease)
1325 LOCUST AVE, SUITE 35
FAIRMONT, WV 26554
Marion County (304) 363-7773
FAIRMONT GENERAL HOSPITAL, INC.
Home Health
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 367-7174
DR. RYAN MICHAEL HAYHURST PHARMD
Pharmacy (Institutional Pharmacy)
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 534-7810
ROBERT M. MCCOY, MD, INC
Clinical Medical Laboratory
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 367-7384
MR. JOHN MASON PRIEST
Emergency Medical Technician, Basic
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (681) 753-5802

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 White Hall Pharmacy LLC's NPI number?

The NPI number for White Hall Pharmacy LLC is 1114098134. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is White Hall Pharmacy LLC located?

White Hall Pharmacy LLC is located at 1325 Locust Ave, Fairmont, WV 26554. The listed phone number is (304) 368-9355.

What is White Hall Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does White Hall Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1096083) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White Hall Pharmacy LLC was last updated on March 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.