MEDICARE: MANNINGTON PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538757570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANNINGTON PHARMACY

Provider Business Mailing Address
First Line	:	131 MARKET ST
Second Line	:
City	:	MANNINGTON
State	:	WV
Zip	:	26582-1130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 MARKET ST
Second Line	:
City	:	MANNINGTON
State	:	WV
Zip	:	26582-1130
Country	:	US
Telephone Number	:	304-986-3811
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST/OWNWE
Name	:	JOHNNA S HARTER
Credential	:
Telephone Number	:	304-815-2165

Provider Enumeration Date	:	01/05/2021
Last Update Date	:	12/22/2025

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Directions to “MANNINGTON PHARMACY ” Practice Location

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