MEDICARE: NEW MARKET PHARMACY INC

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	0201003393	VA

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
2	4830320	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1356440218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW MARKET PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 1288
Second Line	:
City	:	NEW MARKET
State	:	VA
Zip	:	22844-1288
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9438 CONGRESS STREET
Second Line	:
City	:	NEW MARKET
State	:	VA
Zip	:	22844
Country	:	US
Telephone Number	:	540-740-9393
Fax Number	:	540-740-9330

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES FANSLER
Credential	:
Telephone Number	:	540-740-9393

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	02/13/2013

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Directions to “NEW MARKET PHARMACY INC ” Practice Location

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