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

Med-Mart Pharmacy LLC

Organization Pharmacy · NPI 1386131050

Med-Mart Pharmacy LLC is a Pharmacy in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2018.

Licensed in
WV
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

181 Middletown Cir
Fairmont, WV 26554-2015
Phone: (304) 367-9122
Fax: (304) 367-9125
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence SP0552522 (WV)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1386131050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ibrahim Kaddourah — Owner/Pic · (304) 367-9122
Other names Med-Mart Pharmacy Fairmont
NPI enumeratedApril 18, 2018
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019
Mailing address2524 Sun Trl, Morgantown, WV 26505-1131

Other providers in Fairmont