Active NPI
Manal Motawadee Zarekh Matta
- Pharmacist
- Martinsburg, WV
National Provider Identifier
1871155374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100002426
- Practice address
- 33 Meadow LN Unit 7
Martinsburg, WV 25404-3807 - Phone
- (681) 247-2385
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH100002426 | DC | Primary |
Addresses
Primary practice location
33 Meadow LN Unit 7
Martinsburg, WV 25404-3807
Mailing address
14461 Saint Germain Dr
Centreville, VA 20121-2225
Phone (703) 206-8301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100002426 | DC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MZM Pharmacy LLC | Community/Retail Pharmacy | Current | Accepting new patients |
Locations
33 Meadow Ln
Unit 7
Martinsburg, WV 25404
Phone (681) 247-2385
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Martinsburg, WV
- NPI 1265087753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1871155374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14461 SAINT GERMAIN DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212225",
"telephone_number": "703-206-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MEADOW LN UNIT 7",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254043807",
"telephone_number": "681-247-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTA",
"first_name": "MANAL",
"middle_name": "MOTAWADEE ZAREKH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100002426",
"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 Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.