Individual provider Active NPI

Mary Leigh Blankenship, PHARMD

  • Pharmacist
  • Charleston, WV
National Provider Identifier
1922629567
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0008022 Issued in WV
Practice address
6097 Sissonville Dr
Charleston, WV 25312-9595
Phone
(304) 984-1001
Fax
(304) 984-1121
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0008022 WV Primary

Addresses

Primary practice location

6097 Sissonville Dr
Charleston, WV 25312-9595

Mailing address

6097 Sissonville Dr
Charleston, WV 25312-9595
Phone (304) 984-1001

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP0008022WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kines Family Pharmacy Inc CurrentSince Apr 20, 2025 Accepting new patients
Kines Family Pharmacy Inc PastSince May 10, 2020 Accepting new patients

Locations

6097 Sissonville Dr
Charleston, WV 25312
Phone (304) 984-1001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1922629567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 SISSONVILLE DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253129595",
            "telephone_number": "304-984-1001",
            "fax_number": "304-984-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6097 SISSONVILLE DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253129595",
            "telephone_number": "304-984-1001",
            "fax_number": "304-984-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "MARY",
        "middle_name": "LEIGH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0008022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.