NORTHGATE PHARMACY INC. (NPI# 1679570253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679570253 |
| Entity Type | Organization |
| Organization Name | NORTHGATE PHARMACY INC. |
| Other Organization Name | NORTHGATE CARE PHARMACY |
| Practice Address |
3973 Saint Charles Pkwy Waldorf MD 20602-2683 |
| Practice Telephone | 3019327977 |
| Practice Fax Number | 3019329373 |
| Mailing Telephone | 3019327977 |
| Mailing Fax Number | 3019329373 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. VINCENT IPPOLITO (PHARMACIST/PRESIDENT) |
| Authorized Official Telephone | 3019327977 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | P04037 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CDS NUMBER | 456785 | 01 |
| MD | DEA NUMBER | BN8689652 | 01 |
| MD | PHARMACY PERMIT # | P04037 | 01 |
| Other Name | Type Code |
|---|---|
| Northgate Care Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689026 | Northgate Pharmacy Inc. | Pharmacy | 721 N Van Dyke Rd, Bad Axe, MI 48413-9188 | 2005-06-14 |
| 1821168691 | Northgate Pharmacy Inc. | Pharmacy | 721 N Van Dyke Rd, Bad Axe, MI 48413-9188 | 2006-11-09 |
| Street Address |
3973 SAINT CHARLES PKWY |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497817357 | Vincent Ippolito | Pharmacist | 3973 Saint Charles Pkwy, Waldorf, MD 20602-2683 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| 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 |
|---|---|---|---|---|
| 1417249756 | New Market Pharmact, LLC | Pharmacy | 11709 Fair Oaks Way, Waldorf, MD 20602-3192 | 2011-05-04 |
| 1477586725 | Giant of Maryland LLC | Pharmacy | 3297 Crain Highway, Waldorf, MD 20603 | 2006-07-09 |
| 1003855453 | Bjs Wholesale Club Inc | Pharmacy | 1000 Saint Nicholas Dr, Waldorf, MD 20603-4767 | 2006-06-04 |
| 1609308543 | Niki LLC | Pharmacy | 30 High St, Waldorf, MD 20602-1846 | 2017-03-30 |
| 1508200163 | Pharmvue Corporation | Pharmacy | 3460 Old Washington Rd, Suite 103, Waldorf, MD 20602-3240 | 2013-04-24 |
| 1497702203 | Charles Care Pharmacy LLC | Pharmacy | 11355 Pembrooke Sq, Ste 109, Waldorf, MD 20603-4805 | 2006-05-27 |
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| 1316567977 | Jant Pharmacy | Pharmacy | 8771 Piney Orchard Pkwy, Odenton, MD 21113-2245 | 2020-04-23 |
| 1770103707 | Molly Wascher | Pharmacy | 5901 Holabird Ave Ste A2, Baltimore, MD 21224-6015 | 2020-04-20 |
| 1275167827 | Elevation Rx LLC | Pharmacy | 7651 Matapeake Business Dr Ste 114, Brandywine, MD 20613-3038 | 2020-02-22 |
| 1871123000 | Geipe Pharmacy | Pharmacy | 516 N Rolling Rd Ste 101, Catonsville, MD 21228-4141 | 2020-01-15 |
| 1306488853 | Urbana Pharmacy | Pharmacy | 3420 Worthington Blvd Ste B, Frederick, MD 21704-7020 | 2019-10-16 |
| 1609417989 | The Johns Hopkins Hospital | Pharmacy | 5300 Holabird Ave Ste A-1, Baltimore, MD 21224-6010 | 2019-10-08 |
| 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.