MRNB Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

SP0552473 Issued in WV

Legal business name

MRNB INC

Doing business as

AssuredCare LTC

Practice address

2 Courtyard LN
Barboursville, WV 25504

Phone

(866) 201-8712

Fax

(866) 441-5478

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Nathan E Barnes

Title

Owner

Phone

(866) 201-8712

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• AssuredCare LTC Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1497169809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COURTYARD LN",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041015",
            "telephone_number": "304-908-5586",
            "fax_number": "866-441-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COURTYARD LN",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "866-201-8712",
            "fax_number": "866-441-5478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 4TH ST, #20",
            "address_2": "CEREDO PLAZA",
            "address_purpose": "LOCATION",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "25507",
            "country_code": "US",
            "telephone_number": "304-908-5586",
            "fax_number": "304-908-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 4TH ST, #20",
            "address_2": "CEREDO PLAZA",
            "address_purpose": "LOCATION",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "25507",
            "country_code": "US",
            "telephone_number": "304-908-5586",
            "fax_number": "304-908-5587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MRNB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-201-8712"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WV",
            "license": "SP0552473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100331840",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106166",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910006149",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AssuredCare LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shana Mossor
• Jaden Mounts, RN
• Maria D Mounts
• Kary Mowery
• Tonya Moyer
• Misty Mull
• Alexis Marie Mullins
• Alison Mullins, RPH
• Candie Mullins
• Faith Mullins

• Long Term Care Pharmacy in Barboursville, WV
• Providers in Barboursville, WV by specialty
• Long Term Care Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.