Active NPI
Shenandoah Pharmacy, LLC
- Clinic Pharmacy
- Martinsburg, WV
National Provider Identifier
1659762466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- SHENANDOAH PHARMACY, LLC
- Practice address
- 99 Tavern Rd
Martinsburg, WV 25401-2890 - Phone
- (304) 263-4999
- NPI assigned
- Feb 16, 2015
- Organization subpart
- Yes
- Parent organization
- SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Fant
- Title
- Ceo
- Phone
- (304) 263-4999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
99 Tavern Rd
Martinsburg, WV 25401-2890
Mailing address
PO Box 1146
Martinsburg, WV 25402-1146
Phone (304) 263-4999
National Provider Directory
National Provider Directory- Part of
- Shenandoah Valley Med S
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469577600000",
"number": "1659762466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1146",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254021146",
"telephone_number": "304-263-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 TAVERN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012890",
"telephone_number": "304-263-4999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHENANDOAH PHARMACY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHENANDOAH VALLEY MEDICAL SYSTEM, INC.",
"enumeration_date": "2015-02-16",
"last_updated": "2016-07-27",
"status": "A",
"authorized_official_last_name": "FANT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-263-4999"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.