JOHN MANCHIN III NPI 1689849804

NPI Information

  • NPI: 1689849804
  • Provider Name: JOHN MANCHIN III
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: MANCHIN FAMILY PHARMACY
  • CLIA Number: 51D0687206
  • Address: 181 MIDDLETOWN CIR
    FAIRMONT, WV
    ZIP 26554
  • Phone: (304) 367-9122

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NPI Details

JOHN MANCHIN III is a clinic pharmacy pharmacy in Fairmont, WV. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. JOHN MANCHIN III NPI is 1689849804. The provider is registered as an organization entity type.
The provider Is Doing Business As Manchin Family Pharmacy.

The provider's business location address is:

181 MIDDLETOWN CIR
FAIRMONT, WV
ZIP 26554-015
Phone: (304) 367-9122
Fax: (304) 367-9125

The provider's authorized official is John Manchin .
The authorized official title is Owner and has the following contact phone number (304) 367-9122.

The CLIA number assigned to this NPI record is 51D0687206 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/25/2017.

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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0002XPharmacyClinic PharmacySP0552377WEST 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
12111736OTHERPK
23810011348MEDICAIDWEST 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: 3/30/2025

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