THERACOM (NPI# 1568443489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568443489 |
| Entity Type | Organization |
| Organization Name | THERACOM |
| Other Organization Name | THERACOM |
| Practice Address |
9717 Key West Ave Rockville MD 20850-3982 |
| Practice Telephone | 3013374200 |
| Practice Fax Number | 3013374135 |
| Mailing Telephone | 3013374200 |
| Mailing Fax Number | 3013374135 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | ALICIA EVANS (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 4693657030 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PO5597 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2135654 | 01 |
| Other Name | Type Code |
|---|---|
| TheraCom | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THERACOM, INC. | 9717 Key West Ave, Rockville, MD 20850 |
| Iowa Business Entities | THERACOM, L.L.C. | 9717 Key West Ave, Rockville, MD 20850 |
| Oregon Corporations, Companies and Business Names | THERACOM, L.L.C. | One Cvs Dr, Woonsocket, RI 02895 |
| Oklahoma Business Registrations | THERACOM, L.L.C. | 9717 Key West Ave, Rockville, MD 20850 |
| Vermont Business Registrations | THERACOM, L.L.C. | 9717 Key West Ave, Rockville, MD 20850 |
| Washington State Corporations | THERACOM, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Oklahoma Business Registrations | THERACOMPRX, LLC | 7619 State Highway 3w, Ada, OK 74820 |
| Street Address |
9717 KEY WEST AVE |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649762410 | David Alan Wilkey | Pharmacist | 9717 Key West Ave, Rockville, MD 20850-3982 | 2018-06-06 |
| 1851842827 | Theracom, LLC | Pharmacy | 9717 Key West Ave, Rockville, MD 20850-3982 | 2016-10-14 |
| 1376867523 | Thishanthi Wijewickrama | Pharmacist | 9717 Key West Ave, Rockville, MD 20850-3982 | 2010-03-17 |
| 1063734853 | Scott P Staso | Pharmacist | 9717 Key West Ave, Rockville, MD 20850-3982 | 2010-02-19 |
| 1538481320 | Kenneth N Webster | Pharmacist | 9717 Key West Ave, Rockville, MD 20850-3982 | 2010-02-19 |
| 1073767745 | Robert Martin Landsman | Pharmacist | 9717 Key West Ave, Rockville, MD 20850-3982 | 2008-11-07 |
| 1972767614 | Mary E. Schmidt | Pharmacist | 9717 Key West Ave, Rockville, MD 20850-3982 | 2008-07-11 |
| 1265695852 | Theracom LLC | Pharmacy | 9717 Key West Ave, Rockville, MD 20850-3982 | 2008-07-03 |
| 1356511802 | Christopher A. Wheeler | Pharmacist | 9717 Key West Ave, Rockville, MD 20850-3982 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1811519176 | Kare Met Pharmacy | Pharmacy | 12707 Hancock Ct, Upper Marlboro, MD 20774-5601 | 2020-05-10 |
| 1447894928 | Vaccine Valet | Pharmacy | 4600 N Park Ave Ste 220, Chevy Chase, MD 20815-7514 | 2019-10-29 |
| 1326680646 | Medstar Specialty Pharmacy, LLC | Pharmacy | 7379 Washington Blvd Ste 101, Elkridge, MD 21075-6358 | 2019-10-09 |
| 1568975464 | Vdnr Pharmacy LLC | Pharmacy | 3233 Corporate Ct, Ellicott City, MD 21042-2247 | 2017-11-14 |
| 1124542634 | Green Pharmacy LLC | Pharmacy | 501 N Frederick Ave Ste 107b, Gaithersburg, MD 20877-2507 | 2017-07-27 |
| 1386893642 | East Pines Pharmacy LLC | Pharmacy | 6003 66th Ave, Riverdale, MD 20737-1780 | 2008-09-11 |
| 1942329990 | Twenty Four Hour Dependable Medical Supplies, LLC | Pharmacy | 1371 Brass Mill Rd Ste N, Belcamp, MD 21017-1239 | 2007-03-29 |
| 1396785861 | Procare Pharmacy LLC | Pharmacy | 11 S Eutaw St, Baltimore, MD 21201 | 2006-06-06 |
| 1821575200 | Caremetx Health, LLC | Pharmacy | 704 Quince Orchard Rd Ste 150, Gaithersburg, MD 20878-1787 | 2018-07-27 |
| 1346734464 | Koulward Health LLC Population Health Pharmacy | Pharmacy | 9 Aberdeen Shopping Plz, Aberdeen, MD 21001-2247 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
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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.