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MED-MART PHARMACY FAIRMONT
NPI 1386131050
Pharmacy in Fairmont, WV

Active since April 18, 2018
181 MIDDLETOWN CIR, FAIRMONT, WV 26554(304) 367-9122(304) 367-9125 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2019, Apr 18, 2018 (2 updates tracked since 2018).

About Med-mart Pharmacy Fairmont NPPES

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

MED-MART PHARMACY FAIRMONT (NPI 1386131050) is a healthcare organization registered as a pharmacy in Fairmont, West Virginia and active in the NPI registry since April 2018. The organization lists Ibrahim Kaddourah, Owner/pic, as its authorized official.

NPPES Registry Identity

NPI1386131050
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMED-MART PHARMACY LLC
Location Address181 MIDDLETOWN CIRFairmont, WV 26554-2015
Mailing Address2524 Sun TrlMorgantown, WV 26505-1131 · (304) 690-6165
Phone(304) 367-9122
Fax(304) 367-9125
Organization SubpartNo
Authorized OfficialIbrahim KaddourahOwner/pic · (304) 367-9122
Enumeration DateApril 18, 2018
Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration
✔ NPI 1386131050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in WV · SP0552522
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
181 MIDDLETOWN CIR, Fairmont, WV 26554
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Other Names 1

Doing Business AsMed-mart Pharmacy Fairmont

Other Identifiers 1

Other2176926Pk

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

BRANDI RENEE ASTERINO LICSW
Social Worker (Clinical)
181 MIDDLETOWN CIR
FAIRMONT, WV 26554
Marion County (304) 367-9170
MANCHIN CLINIC SOUTH
Clinic/Center
181 MIDDLETOWN CIR
FAIRMONT, WV 26554
Marion County (304) 367-9170
JOHN MANCHIN III
Pharmacy (Clinic Pharmacy)
181 MIDDLETOWN CIR
FAIRMONT, WV 26554
Marion County (304) 367-9122

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 Med-Mart Pharmacy LLC's NPI number?

The NPI number for Med-Mart Pharmacy LLC is 1386131050. It was assigned to this organization in the NPPES registry on April 18, 2018. The provider is doing business as Med-Mart Pharmacy Fairmont.

Where is Med-Mart Pharmacy LLC located?

Med-Mart Pharmacy LLC is located at 181 Middletown Cir, Fairmont, WV 26554. The listed phone number is (304) 367-9122.

What is Med-Mart Pharmacy LLC's specialty?

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

What insurance does Med-Mart Pharmacy LLC accept?

Health plans from Moda Health Plan, Inc. list Med-Mart 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 Med-Mart Pharmacy LLC was last updated on December 11, 2019. 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.