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MOUNTAINEER MEDICAL PHARMACY LLC
NPI 1134569668
Pharmacy - Community/Retail Pharmacy in Bridgeport, WV

Active since June 28, 2013
120 MEDICAL PARK DR STE 102, BRIDGEPORT, WV 26330(304) 423-5200(304) 848-6050 Get Directions Write a Review

NPPES record last updated: October 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountaineer Medical Pharmacy Llc NPPES

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

MOUNTAINEER MEDICAL PHARMACY LLC (NPI 1134569668) is a healthcare organization registered as a community/retail pharmacy in Bridgeport, West Virginia and active in the NPI registry since June 2013. The organization lists Michael Kovack, Pharm Mgr, as its authorized official.

NPPES Registry Identity

NPI1134569668
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOUNTAINEER MEDICAL PHARMACY LLC
Location Address120 MEDICAL PARK DR STE 102Bridgeport, WV 26330-9013
Mailing Address120 Medical Park Dr Ste 102Bridgeport, WV 26330-9013 · (304) 423-5200 · Fax (304) 848-6050
Phone(304) 423-5200
Fax(304) 848-6050
Organization SubpartNo
Authorized OfficialMichael KovackPharm Mgr · (304) 423-5000
Enumeration DateJune 28, 2013
Last NPPES UpdateOctober 26, 2013
✔ NPI 1134569668 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 · SP0552456
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.
120 MEDICAL PARK DR STE 102, Bridgeport, WV 26330
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Other Names 1

Doing Business AsMountaineer Medical Pharmacy Llc

Other Identifiers 1

Other2141915Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

MOUNTAINEER MEDICAL OFFICE BUILDING PHARMACY
Pharmacy (Community/Retail Pharmacy)
120 MEDICAL PARK DR STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 423-5200

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 Mountaineer Medical Pharmacy LLC's NPI number?

The NPI number for Mountaineer Medical Pharmacy LLC is 1134569668. It was assigned to this organization in the NPPES registry on June 28, 2013.

Where is Mountaineer Medical Pharmacy LLC located?

Mountaineer Medical Pharmacy LLC is located at 120 Medical Park Dr Ste 102, Bridgeport, WV 26330. The listed phone number is (304) 423-5200.

What is Mountaineer Medical Pharmacy LLC's specialty?

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

What insurance does Mountaineer Medical Pharmacy LLC accept?

Health plans from Medica list Mountaineer Medical Pharmacy LLC 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 Mountaineer Medical Pharmacy LLC was last updated on October 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.