Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridgeport Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1063667947

Bridgeport Pharmacy Inc is a Community/Retail Pharmacy in Nutter Fort, West Virginia. Licensed in West Virginia. Registered with an NPI since 2008.

Licensed in
WV
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

200 Route 98 W St Ste 105A
Nutter Fort, WV 26301-4385
Phone: (304) 624-0974
Fax: (304) 624-0979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence SP0552382 (WV)

Record details

NPI number1063667947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saad Mossallati — Treasurer · (304) 623-5711
Other names Medwood Pharmacy
NPI enumeratedNovember 19, 2008
Last updated in NPPESMarch 17, 2014
Mailing address200 Route 98 W St, Ste 105a, Nutter Fort, WV 26301-4385