Organization Active NPI

SMPH LLC

  • Community/Retail Pharmacy
  • Martinsburg, WV
National Provider Identifier
1336754647
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SMPH LLC
Practice address
5759 Williamsport Pike Ste 105
Martinsburg, WV 25404-6591
Phone
(681) 242-3997
Fax
(681) 353-2125
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Kristine Knott, PHARMDNPI 1033116033
Title
Pharmd/Owner
Phone
(304) 676-9878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5759 Williamsport Pike Ste 105
Martinsburg, WV 25404-6591

Mailing address

436 Featherbed Rd
Martinsburg, WV 25404-0375
Phone (304) 676-9878

Other names 1

  • Spring Mills Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210114002414 WV Part B Supplier - Mass Immunization (Roster Biller Only) 2668882416 Practice locations: Martinsburg, WV
O20220722000199 WV DME Supplier - Pharmacy 2668882416 Practice locations: Martinsburg, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SMPH LLC5759 Williamsport Pike, Martinsburg, WV 25404-6591(681) 242-3997 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 2, 2020

National Provider Directory

National Provider Directory

Locations

5759 Williamsport Pike
Ste 105
Martinsburg, WV 25404
Phone (681) 242-3997

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1336754647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 FEATHERBED RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254040375",
            "telephone_number": "304-676-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5759 WILLIAMSPORT PIKE STE 105",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046591",
            "telephone_number": "681-242-3997",
            "fax_number": "681-353-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMPH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PHARMD/OWNER",
        "authorized_official_telephone_number": "304-676-9878",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Mills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spring Mills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.