St. Mary's Pharmacy
NPI 1255102166ActiveOrganization· Pharmacy, Clinic Pharmacy· Wise, VA
Pharmacy, Clinic Pharmacy in Wise, Virginia, registered in NPPES in January 2024, part of St. Mary's Health Wagon. The authorized official on file is Jennifer Lynden Hammons, PHARMD, Pharmacist In Charge.
Overview
| NPI | 1255102166 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. Mary's Health Wagon |
| NPI issued | Jan 10, 2024 |
| Last updated in NPPES | Jan 10, 2024 |
| Certified by provider | Jan 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|