Marshall Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARSHALL PHARMACY INC.

Practice address

1600 Medical Center Drive
Huntington, WV 25701-3655

Phone

(304) 691-6879

Fax

(304) 205-1844

NPI assigned

Jun 30, 2014

Organization subpart

No

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

Authorized official

Name

Jeffrey Alan Fenerty

Title

Director of Pharmacy Services

Phone

(304) 691-8770

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marshall Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Marshall Pharmacy Inc.

  • Community/Retail Pharmacy
  • Huntington, WV
  • NPI 1497149579

  2365830346

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Marshall Pharmacy Inc.

  • Community/Retail Pharmacy
  • Huntington, WV
  • NPI 1497149579

  O20220125003142

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University Physicians & Surgeons, Inc.

  • Health & Wellness Coach
  • Louisa, KY
  • NPI 1073256665

  Member Of

  NPD member

Locations

Practitioners 1

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

• Kevin W Yingling, MD

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1467417485
  NPD (past)

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1275948184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-6879",
            "fax_number": "304-691-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013655",
            "telephone_number": "304-691-6879",
            "fax_number": "304-205-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "FENERTY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "304-691-8770"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275948184",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant Lindley Marple, AADC-S, LSW
• Deborah Kay Marsee, MSW, CSW
• Jessica B Marsee, PHARMD, RPH
• Kristen Hamilton Marshall Chupp
• Marshall Pharmacy Inc.
• Marshall Pharmacy Inc.
• Marshall Pharmacy Inc.
• Marshall University
• Marshall University Behavioral Health Center
• Marshall University H.E.L.P. Program

• Community/Retail Pharmacy in Huntington, WV
• Providers in Huntington, 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 Jan 14, 2022; 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.