CARDINAL HEALTH PHARMACY SERVICES LLC (NPI# 1013386663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013386663 |
| Entity Type | Organization |
| Organization Name | CARDINAL HEALTH PHARMACY SERVICES LLC |
| Other Organization Name | MOUNTAIN LAUREL COMMUNITY PHARMACY |
| Practice Address |
1027 Memorial Dr Suite 100 Oakland MD 21550-4343 |
| Practice Telephone | 3012457002 |
| Practice Fax Number | 6146524305 |
| Mailing Telephone | 3012457002 |
| Mailing Fax Number | 6146524305 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2017-08-08 |
| Authorized Official Name | MICHAEL BROWN (VP, MANAGED SERVICES) |
| Authorized Official Telephone | 2817494764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P06891 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2154185 | 01 |
| Other Name | Type Code |
|---|---|
| Mountain Laurel Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750747622 | Cardinal Health Pharmacy Services LLC | Pharmacy | 770 Walnut St Ste 100, Macon, GA 31201-7307 | 2016-01-08 |
| 1366889362 | Cardinal Health Pharmacy Services LLC | Pharmacy | 28341 Constellation Rd, Santa Clarita, CA 91355-5048 | 2013-05-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Cardinal Health Pharmacy Services LLC | 1330 Enclave Parkway, Houston, Texas 77077 |
| Street Address |
1027 MEMORIAL DR SUITE 100 |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082538 | Linda S Bonnette | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2005-09-08 |
| 1619574787 | Amanda Lynn Kamp | Registered Nurse | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2020-10-02 |
| 1457900052 | Sara Michelle Cockerham | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2019-09-05 |
| 1801358478 | Robert Clinton Funk II | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2019-04-03 |
| 1366913170 | Kelly Ann Bailey | Psychologist | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2018-12-06 |
| 1760952170 | Taylor Ryan Crabtree | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2018-11-28 |
| 1760972079 | Michelle K Dixon | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2018-05-11 |
| 1336654441 | Elias John Tancin | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-12-12 |
| 1538696604 | Jessica Nichole Meyers | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-05-18 |
| 1528592516 | Christopher M Ferrell | Family Medicine | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040828 | Augusta Ikhile | Pharmacy | 10633 International Blvd, Oakland, CA 94603-3805 | 2020-07-20 |
| 1457879835 | Walgreen Co | Pharmacy | 5809 Foothill Blvd, Oakland, CA 94605-1305 | 2017-09-06 |
| 1821337528 | Rockforth Pharmacy | Pharmacy | 10500 International Blvd, Oakland, CA 94603-3804 | 2013-02-01 |
| 1487885604 | Lg Pharmacies, LLC | Pharmacy | 1620 High St, Suite 2b, Oakland, CA 94601-4536 | 2009-08-05 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1710021886 | Save Mart Supermarkets | Pharmacy | 3000 E 9th St, Oakland, CA 94601-2937 | 2007-02-20 |
| 1083762967 | Kaiser Foundation Health Plan Inc | Pharmacy | 3801 Howe St Fl 4, Oakland, CA 94611 | 2007-01-08 |
| 1699823575 | Kaiser Foundation Health Plan Inc | Pharmacy | 3505 Broadway Fl 4, Oakland, CA 94611-5714 | 2007-01-08 |
| 1598812810 | Kaiser Foundation Health Plan Inc | Pharmacy | 3801 Howe St Fl 1, Oakland, CA 94611-5312 | 2007-01-05 |
| 1437212149 | Oakland Pharmacy Inc | Pharmacy | 601 Pioneer Ave, Oakland, IA 51560 | 2006-12-18 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.