Shannon Brunzo-Hager
Individual provider Active NPI Pharmacist · Morgantown, WV
NPI 1275409591 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1275409591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0014792 (WV)
- Practice address
- 1 Medical Center Dr
Morgantown, WV 26506-1200 - Phone
- (304) 598-4148
- Fax
- (304) 598-4073
- NPI assigned
- Oct 14, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0014792 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0014792 | WV | Yes |
Addresses
Primary practice location
1 Medical Center Dr
Morgantown, WV 26506-1200
Mailing address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 598-4148
Other providers in Morgantown, WV
- Adam M Bruner
- Matthew D Brunner
- Nancy E Brunner
- Anthony Robert Bruno
- Christine M Bruno
- Nicole Beth Bryan
- Nicole P Bryan
- Tiffany A Bryan
- James Gregory Bryant
- Katlyn N Bryant
All providers in Morgantown, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.