FAIRMOUNT FAMILY PHARMACY NPI 1366429953

NPI Information

  • NPI: 1366429953
  • Provider Name: FAIRMOUNT FAMILY PHARMACY
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Other Name: MARION HEALTH ENTERPRISES
  • Address: 1325 LOCUST AVENUE
    FAIRMOUNT, WV
    ZIP 26554
  • Phone: (304) 367-8600

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NPI Details

FAIRMOUNT FAMILY PHARMACY is a pharmacy in Fairmount, WV. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. FAIRMOUNT FAMILY PHARMACY NPI is 1366429953. The provider is registered as an organization entity type.
The provider Other Name Is Marion Health Enterprises.

The provider's business location address is:

1325 LOCUST AVENUE
FAIRMOUNT, WV
ZIP 26554
Phone: (304) 367-8600
Fax: (304) 367-8601

The provider's authorized official is Kimberly A Cheuvront .
The authorized official title is Assistant Vice President and has the following contact phone number (304) 367-7488.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyMP0552253WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18500030000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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