Courtney Lanehart
Individual provider Active NPI Pharmacist · Shepherdstown, WV
NPI 1780103176 · NPPES record last updated Sep 17, 2017
Key facts
- NPI
- 1780103176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0010315 (WV)
- Practice address
- 26 Maddex Square Dr
Shepherdstown, WV 25443-4321 - Phone
- (304) 876-0505
- NPI assigned
- Sep 17, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0010315 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0010315 | WV | Yes |
Addresses
Primary practice location
26 Maddex Square Dr
Shepherdstown, WV 25443-4321
Mailing address
26 Maddex Square Dr
Shepherdstown, WV 25443-4321
Phone (304) 876-0505
Other providers in Shepherdstown, WV
- Jeffrey D Kellogg
- Olatumininu Ayinke Kilo
- Sarah Knipe
- Sandra Leigh Knoerlein
- Angela Kursey
- Cynthia Joan Learn
- Yvette Gabrielle Levi
- Tara-Marie Linne
- Timothy J Lisbon
- Randolph Robert Macdonald
All providers in Shepherdstown, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.