INTRADE INC (NPI# 1255438180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255438180 |
| Entity Type | Organization |
| Organization Name | INTRADE INC |
| Other Organization Name | CRAIN TOWERS PHARMACY |
| Practice Address |
1600 Crain Hwy S Ste 110 Glen Burnie MD 21061-5577 |
| Practice Telephone | 4107604595 |
| Practice Fax Number | 4107601575 |
| Mailing Telephone | 4107604595 |
| Mailing Fax Number | 4107601575 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | MANISH SHAH (OWNER PHARMACIST) |
| Authorized Official Telephone | 4107604595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P03144 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 000151100 | 05 | |
| PK | 2037774 | 01 |
| Other Name | Type Code |
|---|---|
| CRAIN TOWERS PHARMACY | Doing Business As Name - Organization |
| Street Address |
1600 CRAIN HWY S STE 110 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721753 | Michael John Daly | Pain Medicine | 1600 Crain Hwy S, Suite 301, Glen Burnie, MD 21061-5577 | 2005-06-28 |
| 1144884909 | Aisha Zareen | Physical Therapist | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2019-04-26 |
| 1184196024 | Courtney Keegan Perkins | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-12-17 |
| 1003383779 | Sanchez Brown | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-10-30 |
| 1306357595 | Kia Ahmed | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2017-10-16 |
| 1326571415 | Kimberly Layton Rice | Nurse Practitioner | 1600 Crain Hwy S, Suite 201, Glen Burnie, MD 21061-5577 | 2017-04-06 |
| 1871044834 | Megan Fredricks Cocco | Counselor | 1600 Crain Hwy S, Suite 503, Glen Burnie, MD 21061-5577 | 2016-10-14 |
| 1275083461 | All Star Pain Management and Regenerative Medicine, LLC | Physical Medicine & Rehabilitation | 1600 Crain Hwy S, Suite 206, Glen Burnie, MD 21061-5577 | 2016-10-11 |
| 1528517307 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 1600 Crain Hwy S, 302, Glen Burnie, MD 21061-5577 | 2016-09-22 |
| 1194270959 | Ashley Nicole Fogarty | Physical Therapist | 1600 Crain Hwy S, Suite 302, Glen Burnie, MD 21061-5577 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497242739 | Keyona LLC | Pharmacy | 7310 Ritchie Hwy Ste 110, Glen Burnie, MD 21061-3175 | 2018-04-20 |
| 1205336328 | Soleil Pharmacy | Pharmacy | 801 Landmark Dr, Suite B, Glen Burnie, MD 21061-4986 | 2018-02-15 |
| 1962859850 | Rizraf LLC | Pharmacy | 103 Crain Hwy N Ste B2, Glen Burnie, MD 21061-3096 | 2016-05-20 |
| 1336236520 | M & M Pharmacy Inc | Pharmacy | 7571 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2006-10-07 |
| 1700819059 | Giant of Maryland LLC | Pharmacy | 7927 Ritchie Hwy, Glen Burnie, MD 21061-4343 | 2006-07-09 |
| 1346898244 | Paas LLC | Pharmacy | 8 Mountain Rd, Glen Burnie, MD 21060-7974 | 2019-09-03 |
| 1912458381 | Chase Brexton Health Services Inc | Pharmacy | 200 Hospital Dr Ste 300, Glen Burnie, MD 21061-5884 | 2016-10-20 |
| 1801255666 | Vd Pharmacy LLC | Pharmacy | 85 Kindred Way, Suite 102, Glen Burnie, MD 21061 | 2016-02-22 |
| 1912938994 | K Mart Corp | Pharmacy | 6716 Governor Ritchie Hwy, Glen Burnie, MD 21061-2319 | 2006-07-06 |
| 1194752667 | Empire Professional Pharmacy Inc | Pharmacy | 200 Hospital Dr, Ste 107, Glen Burnie, MD 21061-5884 | 2006-06-28 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.