MZM Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MZM PHARMACY LLC

Practice address

33 Meadow LN Unit 7
Martinsburg, WV 25404-3807

Phone

(681) 247-2385

Fax

(304) 350-8426

NPI assigned

Aug 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manal Motawadee Zarekh MattaNPI 1871155374

Title

Owner

Phone

(703) 206-8301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manal Motawadee Zarekh Matta

  • Pharmacist
  • Martinsburg, WV
  • NPI 1871155374

  Community/Retail Pharmacy

  NPD Authorized official
• Zaki Wadie Zaki Ghobrial

  • Pharmacist
  • Martinsburg, WV
  • NPI 1073156766
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1265087753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 STATION TER E",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254034004",
            "telephone_number": "703-206-8301",
            "fax_number": "304-350-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MEADOW LN UNIT 7",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043807",
            "telephone_number": "681-247-2385",
            "fax_number": "304-350-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MZM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "MANAL",
        "authorized_official_middle_name": "MOTAWADEE ZAREKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-206-8301"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia A Nadeau, RN
• Omar Nadra, M.D.
• Erin Nail
• Ratna Leela Nair, MD
• Asia Nalls

• Community/Retail Pharmacy in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.