DR. KATIE MARIE PETRISIN PHARM.D.
NPI 1629526553
Pharmacist in Fairmont, WV

Active since September 20, 2016
177 MIDDLETOWN RD, SUITE #2, FAIRMONT, WV 26554(304) 368-9355(304) 368-5422 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Katie Marie Petrisin Pharm.d. NPPES

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

DR. KATIE MARIE PETRISIN PHARM.D. (NPI 1629526553) is an individual pharmacist in Fairmont, West Virginia, licensed in West Virginia (RP0008090) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1629526553
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KATIE MARIE PETRISINCredential: PHARM.D.
Location Address177 MIDDLETOWN RD, SUITE #2Fairmont, WV 26554-8254
Mailing Address177 Middletown Rd, Suite #2Fairmont, WV 26554-8254 · (304) 368-9355 · Fax (304) 368-5422
Fax(304) 368-5422
Sole ProprietorNo
Enumeration DateSeptember 20, 2016
NPI 1629526553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in WV · RP0008090 Licensed in PA · RP449389
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
177 MIDDLETOWN RD, Fairmont, WV 26554

Other Providers at the Same Location NPPES 5

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

General Practice
177 MIDDLETOWN RD, SUITE 1
FAIRMONT, WV 26554
Nurse Practitioner
177 MIDDLETOWN RD
FAIRMONT, WV 26554
Nurse Practitioner (Family)
177 MIDDLETOWN RD, STE 1
FAIRMONT, WV 26554
Nurse Practitioner (Family)
177 MIDDLETOWN RD, SUITE 1
FAIRMONT, WV 26554
Pharmacy (Community/Retail Pharmacy)
177 MIDDLETOWN RD, SUITE 2
FAIRMONT, WV 26554

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 Katie Petrisin's NPI number?

The NPI number for Katie Petrisin is 1629526553. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Where is Katie Petrisin located?

Katie Petrisin practices at 177 Middletown Rd Suite #2, Fairmont, WV 26554. The listed phone number is (304) 368-9355.

What is Katie Petrisin's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Katie Petrisin was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.