Peterstown Pharmacy
Community/Retail Pharmacy
105 Market Street, Peterstown
West Virginia, 24963
304-753-5074 304-753-5078
Peterstown Pharmacy is a Community/Retail Pharmacy in Peterstown, West Virginia. It is located at 105 Market Street, Peterstown and it's customer support contact number is 304-753-5074. The authorized person of Peterstown Pharmacy is Mr. Robert Kelley Massie Jr., PHARMAIST who is President of the pharmacy and his contact number is 304-753-5074. Active license number of Peterstown Pharmacy is SP0552221 for Community/Retail Pharmacy in West Virginia. Peterstown Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Peterstown Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Peterstown Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Peterstown Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 105 Market Street, Peterstown,
West Virginia, 24963 |
| Phone: | 304-753-5074 |
| Fax: | 304-753-5078 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Robert Kelley Massie Jr. |
| Credentials: | PHARMAIST |
| Position: | President |
| Contact Number: | 304-753-5074 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1326205246 |
| NPI Enumeration Date: | 19 May, 2008 |
| NPI Last Update On: | 06 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peterstown Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | SP0552221 | West Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0141778000 | Medicaid | West Virginia | |
Medicare Enrollment:
Peterstown Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3476674094 | O20100930011209 | Peterstown Pharmacy | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 338,
Peterstown, West Virginia |
| Zip: | 24963-0338 |
| Phone Number: | 304-753-5074 |
| Fax Number: | 304-753-5078 |
Patients can reach Peterstown Pharmacy at
105 Market Street, Peterstown, West Virginia or can
call on customer care at 304-753-5074.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.