NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mountaineer Medical Pharmacy LLC

Community/Retail Pharmacy in Bridgeport, WV · enumerated 2013 · authorized official Michael Kovack, Pharm Mgr.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134569668

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Mountaineer Medical Pharmacy LLC
Other name <Unavail>
Practice address 120 Medical Park Dr Ste 102, Bridgeport, WV, 26330
Fax (304) 848-6050
Enumeration date Jun 28, 2013
Last updated in NPPES Oct 26, 2013

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License SP0552456 (WV) Primary

Authorized official

Name Michael Kovack
Title Pharm Mgr

Other identifiers

Identifier Type State Issuer
2141915 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Mountaineer Medical Pharmacy LLC located?
The practice location on file with NPPES is in Bridgeport, WV.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-10-26. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-10-26.