Individual provider Active NPI

Marylyn Lancaster-Kinney, PHARMD

  • Pharmacist
  • Morgantown, WV
National Provider Identifier
1942934948
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0006470 Issued in WV
Practice address
3040 University Ave Ste 1400
Morgantown, WV 26505-3381
Phone
(304) 285-7216
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0006470 WV Primary

Addresses

Primary practice location

3040 University Ave Ste 1400
Morgantown, WV 26505-3381

Mailing address

7 Ruckert Rd
Morgantown, WV 26508-2754
Phone (304) 376-4224

Other identifiers 1

IdentifierTypeStateIssuer
RP0006470OtherWVWV BOP ISSUED PHARMACY LICENSE

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
RP0006470WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Hospitals Inc CurrentSince Jul 17, 2022 Accepting new patients
West Virginia University Hospitals, Inc. PastSince Jul 17, 2022 Accepting new patients

Locations

3040 University Ave
Ste 1400
Morgantown, WV 26505
Phone (304) 285-7216

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1942934948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RUCKERT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265082754",
            "telephone_number": "304-376-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 UNIVERSITY AVE STE 1400",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053381",
            "telephone_number": "304-285-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER-KINNEY",
        "first_name": "MARYLYN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOP ISSUED PHARMACY LICENSE",
            "identifier": "RP0006470",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.