Mountaineer Drug Inc.

Organization Active NPI Community/Retail Pharmacy · Marmet, WV

NPI 1326699703 · NPPES record last updated May 12, 2025

Key facts

NPI
1326699703
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
MOUNTAINEER DRUG INC.
Practice address
9709 Maccorkle Ave SE, Ste a
Marmet, WV 25315
Phone
(304) 767-1803
NPI assigned
Sep 26, 2019
Organization subpart
Yes
Parent organization (as reported)
MOUNTAINEER DRUG INC.

Authorized official

Name
Aaron Anderson Smarr
Title
President
Phone
(304) 380-8769

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210203001551 WV Part B Supplier - Mass Immunization (Roster Biller Only) 2466696091 Practice locations: Marmet, WV

National Provider Directory

Tax ID family
Mountaineer Drug Inc (2 organizations share this tax ID)
Part of
Mountaineer Drug Inc

Locations

9709 Maccorkle Ave
#A
Marmet, WV 25315
Phone (304) 220-2424

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

9709 Maccorkle Ave SE, Ste a
Marmet, WV 25315

Mailing address

9709 Maccorkle Ave Ste a
Marmet, WV 25315-1847
Phone (304) 220-2424

Other names

  • Mountaineer Drug Inc. Doing business as

Other providers in Marmet, WV

All providers in Marmet, WV · Community/Retail Pharmacy in West Virginia

Sources for this page

Verify at the official NPI Registry.