Active NPI
Bailie Clark
- Pharmacist
- Martinsburg, WV
National Provider Identifier
1124931597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PT0009517
- Practice address
- 1102 N Queen St
Martinsburg, WV 25404-3603 - Phone
- (304) 260-9185
- NPI assigned
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PT0009517 | WV | Primary |
Addresses
Primary practice location
1102 N Queen St
Martinsburg, WV 25404-3603
Mailing address
1102 N Queen St
Martinsburg, WV 25404-3603
Phone (304) 260-9185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1124931597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 N QUEEN ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254043603",
"telephone_number": "304-260-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 N QUEEN ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254043603",
"telephone_number": "304-260-9185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "BAILIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "PT0009517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.