Fairmount Family Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

MP0552253 Issued in WV

Legal business name

FAIRMOUNT FAMILY PHARMACY

Practice address

1325 Locust Avenue
Fairmount, WV 26554

Phone

(304) 367-8600

Fax

(304) 367-8601

NPI assigned

Dec 27, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly A Cheuvront, PHD

Title

Assistant Vice President

Phone

(304) 367-7488

Specialties & licenses 1

Addresses

Other names 1

• Marion Health Enterprises Other name

Locations

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366429953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 LOCUST AVENUE",
            "city": "FAIRMOUNT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-367-8600",
            "fax_number": "304-367-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LOCUST AVENUE",
            "city": "FAIRMOUNT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-367-8600",
            "fax_number": "304-367-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMOUNT FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEUVRONT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT",
        "authorized_official_telephone_number": "304-367-7488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "MP0552253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Health Enterprises",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.