Primary Oncology Network Pllc
Hematology & Oncology
1325 Locust Ave Ste 15, Fairmont
West Virginia, 26554-1435
304-366-0111 304-366-2099
Primary Oncology Network Pllc is a Hematology & Oncology in Fairmont, West Virginia. It is located at 1325 Locust Ave Ste 15, Fairmont and it's customer support contact number is 304-366-0111. The authorized person of Primary Oncology Network Pllc is John Jurjus Azar, MD, FACP who is Owner of the pharmacy and his contact number is 304-366-0111. Primary Oncology Network Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Primary Oncology Network Pllc is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Pharmacy Details:
Primary Oncology Network Pllc 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: | Primary Oncology Network Pllc |
| Type: | Hematology & Oncology |
| Location: | 1325 Locust Ave Ste 15, Fairmont,
West Virginia, 26554-1435 |
| Phone: | 304-366-0111 |
| Fax: | 304-366-2099 |
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: | John Jurjus Azar |
| Credentials: | MD, FACP |
| Position: | Owner |
| Contact Number: | 304-366-0111 |
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: | 1588610570 |
| NPI Enumeration Date: | 25 May, 2006 |
| NPI Last Update On: | 16 Nov, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Primary Oncology Network Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Hematology & Oncology | | | Primary | |
| Clinical Medical Laboratory | 17192 | West Virginia | Secondary | |
| Non-pharmacy Dispensing Site | 26308 | West Virginia | Secondary | |
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 |
| 0204568000 | Medicaid | West Virginia | |
| CH6378 | Other | West Virginia | Railroad Medicare |
Medicare Enrollment:
Primary Oncology Network Pllc 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 |
| 2769426972 | O20050617000281 | Primary Oncology Network Pllc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 2769426972 | O20100930053181 | Primary Oncology Network Pllc | DME SUPPLIER - PHYSICIAN - MEDICAL ONCOLOGY |
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 1286,
Fairmont, West Virginia |
| Zip: | 26555-1286 |
| Phone Number: | 304-366-0111 |
| Fax Number: | 304-366-2099 |
Patients can reach Primary Oncology Network Pllc at
1325 Locust Ave Ste 15, Fairmont, West Virginia or can
call on customer care at 304-366-0111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.