OrganizationActive
Bridgeport Pharmacy Inc
NPI 1063667947 · Community/Retail Pharmacy · Nutter Fort, WV
Bridgeport Pharmacy Inc is a Community/Retail Pharmacy organization in Nutter Fort, WV (NPI 1063667947).
Provider details
- NPI number
- 1063667947
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Saad Mossallati, Treasurer(304) 623-5711
- License
- SP0552382 (WV)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Route 98 W St
Ste 105a
Nutter Fort, WV 26301-4385
Phone: (304) 624-0974
Fax: (304) 624-0979
Approximate (ZIP-level) locationGet directions
Mailing address
200 Route 98 W St
Nutter Fort, WV 26301-4385
Other names (DBA / former)
- Doing business as
- Medwood Pharmacy
Registry dates
- Enumerated
- 2008-11-19
- Last updated
- 2014-03-17
Frequently asked questions
- What is Bridgeport Pharmacy Inc's NPI number?
- Bridgeport Pharmacy Inc's National Provider Identifier (NPI) is 1063667947, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Pharmacy Inc?
- Bridgeport Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bridgeport Pharmacy Inc located?
- Bridgeport Pharmacy Inc's practice location on file with NPPES is 200 Route 98 W St, Nutter Fort, WV 26301-4385.
- What is Bridgeport Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Pharmacy Inc is (304) 624-0974.
- Who is the authorized official for Bridgeport Pharmacy Inc?
- The authorized official listed on Bridgeport Pharmacy Inc's NPPES record is Saad Mossallati, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Pharmacy Inc's NPI active?
- Yes — Bridgeport Pharmacy Inc's NPI (1063667947) is active in the NPPES registry as of the last update on 2014-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.