Active NPI
SMPH LLC
- Community/Retail Pharmacy
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Knott, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| SMPH LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Martinsburg, WV
- NPI 1033116033
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.