OrganizationActive
Med-Mart Pharmacy LLC
NPI 1386131050 · Pharmacy · Fairmont, WV
Med-Mart Pharmacy LLC is a Pharmacy organization in Fairmont, WV (NPI 1386131050).
Provider details
- NPI number
- 1386131050
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ibrahim Kaddourah, Owner/Pic(304) 367-9122
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
181 Middletown Cir
Fairmont, WV 26554-2015
Phone: (304) 367-9122
Fax: (304) 367-9125
Street-level locationGet directions
Mailing address
2524 Sun Trl
Morgantown, WV 26505-1131
Other names (DBA / former)
- Doing business as
- Med-Mart Pharmacy Fairmont
Registry dates
- Enumerated
- 2018-04-18
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Frequently asked questions
- What is Med-Mart Pharmacy LLC's NPI number?
- Med-Mart Pharmacy LLC's National Provider Identifier (NPI) is 1386131050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Med-Mart Pharmacy LLC?
- Med-Mart Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Med-Mart Pharmacy LLC located?
- Med-Mart Pharmacy LLC's practice location on file with NPPES is 181 Middletown Cir, Fairmont, WV 26554-2015.
- What is Med-Mart Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Med-Mart Pharmacy LLC is (304) 367-9122.
- Who is the authorized official for Med-Mart Pharmacy LLC?
- The authorized official listed on Med-Mart Pharmacy LLC's NPPES record is Ibrahim Kaddourah, Owner/Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Med-Mart Pharmacy LLC's NPI active?
- Yes — Med-Mart Pharmacy LLC's NPI (1386131050) is active in the NPPES registry as of the last update on 2019-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.