1. Home
  2. Directory
  3. West Virginia
  4. Fairmont
  5. Pharmacist
  6. NPI Profile

DR. PHATTRAKORN POWAN RPH
NPI 1801752100
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fairmont, WV

Active since December 30, 2025
1325 LOCUST AVE, FAIRMONT, WV 26554(304) 534-7810 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Phattrakorn Powan Rph NPPES

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

DR. PHATTRAKORN POWAN RPH (NPI 1801752100) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fairmont, West Virginia, licensed in West Virginia (RP0014647) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1801752100
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. PHATTRAKORN POWANCredential: RPH
Location Address1325 LOCUST AVEFairmont, WV 26554-1435
Mailing Address1325 Locust AveFairmont, WV 26554-1435 · (304) 534-7810
Phone(304) 534-7810
Sole ProprietorNo
Enumeration DateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1801752100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WV · RP0014647
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1325 LOCUST AVE, Fairmont, WV 26554
Open in Google Maps ↗

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
WHITE HALL PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 368-9355
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

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 Phattrakorn Powan's NPI number?

The NPI number for Phattrakorn Powan is 1801752100. It was assigned to this individual provider in the NPPES registry on December 30, 2025.

Where is Phattrakorn Powan located?

Phattrakorn Powan practices at 1325 Locust Ave, Fairmont, WV 26554. The listed phone number is (304) 534-7810.

What is Phattrakorn Powan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Phattrakorn Powan was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.