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MEDBROOK MEDICAL ASSOCI INC PHCY
NPI 1649292228
Pharmacy - Community/Retail Pharmacy in Bridgeport, WV

Active since July 24, 2006
1370 JOHNSON AVE, BRIDGEPORT, WV 26330(304) 842-4233(304) 842-2574 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medbrook Medical Associ Inc Phcy NPPES

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

MEDBROOK MEDICAL ASSOCI INC PHCY (NPI 1649292228) is a healthcare organization registered as a community/retail pharmacy in Bridgeport, West Virginia and active in the NPI registry since July 2006. The organization lists Kelly Nelson, Medical Director/ President, as its authorized official.

NPPES Registry Identity

NPI1649292228
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDBROOK MEDICAL ASSOCIATES INC
Location Address1370 JOHNSON AVEBridgeport, WV 26330-1492
Mailing Address1370 Johnson AveBridgeport, WV 26330-1492 · (304) 842-4233 · Fax (304) 842-2574
Phone(304) 842-4233
Fax(304) 842-2574
Organization SubpartNo
Authorized OfficialKelly NelsonMedical Director/ President · (304) 842-7186
Enumeration DateJuly 24, 2006
Last NPPES UpdateAugust 11, 2010
✔ NPI 1649292228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WV · SP0552291
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.
Also ListedPharmacyTaxonomy 333600000X
1370 JOHNSON AVE, Bridgeport, WV 26330
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Other Names 1

Doing Business AsMedbrook Medical Associ Inc Phcy

Other Identifiers 2

Other5012048Ncpdp Provider Identification Number
Medicaid6003063000WV

Other Providers at the Same Location NPPES 10

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

MEDBROOK MEDICAL ASSOC. INC.
Clinical Medical Laboratory
1370 JOHNSON AVE
BRIDGEPORT, WV 26330
Harrison County (304) 842-7186
DR. JAMES J DEMARCO MD
Internal Medicine (Nephrology)
1370 JOHNSON AVE, STE 203
BRIDGEPORT, WV 26330
Harrison County (304) 622-5196
JUSTIN GOFF PA-C
Physician Assistant
1370 JOHNSON AVE
BRIDGEPORT, WV 26330
Harrison County (304) 842-3330
DR. TIMOTHY M PEASAK D.O.
Emergency Medicine
1370 JOHNSON AVE, 1ST FLOOR
BRIDGEPORT, WV 26330
Harrison County (304) 842-3330
RAETTA LYNN WENTZ PA-C
Physician Assistant (Medical)
1370 JOHNSON AVE
BRIDGEPORT, WV 26330
Harrison County (304) 842-7186
UNITED HOSPITAL CENTER, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1370 JOHNSON AVE, SUITE 201
BRIDGEPORT, WV 26330
Harrison County (681) 342-3730
MISS TAMMY LOU YAZEVAC PA
Physician Assistant
1370 JOHNSON AVE
BRIDGEPORT, WV 26330
Harrison County (304) 842-7186
LANDYN PAIGE BONAMICO
Physician Assistant
1370 JOHNSON AVE
BRIDGEPORT, WV 26330
Harrison County (304) 842-3330

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 Medbrook Medical Associates Inc's NPI number?

The NPI number for Medbrook Medical Associates Inc is 1649292228. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as Medbrook Medical Associ Inc Phcy.

Where is Medbrook Medical Associates Inc located?

Medbrook Medical Associates Inc is located at 1370 Johnson Ave, Bridgeport, WV 26330. The listed phone number is (304) 842-4233.

What is Medbrook Medical Associates Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Medbrook Medical Associates Inc was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.