PEMBERTON PHARMACY & GIFT ST MICHAELS, LLC (NPI# 1679994578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679994578 |
| Entity Type | Organization |
| Organization Name | PEMBERTON PHARMACY & GIFT ST MICHAELS, LLC |
| Practice Address |
204 South Talbot Street St Michaels MD 21663 |
| Mailing Address |
1147 Pemberton Dr Salisbury MD 21801-2529 |
| Practice Telephone | 4106770707 |
| Mailing Telephone | 4106770707 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | CRAIG SCHURY (PRESIDENT) |
| Authorized Official Telephone | 4106770707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
204 SOUTH TALBOT STREET |
| City | ST MICHAELS |
| State | MD |
| Zip Code | 21663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265746630 | Steven Chritian Della Vecchia | Psychologist | 103 East Chestnut Street, Saint Michaels, MD 21663 | 2010-07-28 |
| 1104996099 | Deck LLC | Pharmacy | 204 S Talbot, St Michaels, MD 21663 | 2006-11-08 |
| 1770508806 | David Wayne Hopkins Jr. | Pharmacist | 204 South Talbot St, St. Michaels, MD 21663 | 2006-07-12 |
| 1326007634 | Kaitlin M Waldrip | Social Worker | 1013 Talbot St, Unit L, St Michaels, MD 21663 | 2006-03-23 |
| 1215246707 | Deborah C. Gootee Crnp-pmh, LLC | Nurse Practitioner | 103 East Chestnut Street, Saint Michaels, MD 21663 | 2010-09-30 |
| 1447455498 | Anthony J. Drobnick, Md | Clinic/Center | Po Box V, 411 Talbot Street, Saint Michaels, MD 21663-0660 | 2007-06-19 |
| 1598235434 | Lynn A Brennan | Occupational Therapist | 24749 Swan Rd, St Michaels, MD 21663-2321 | 2018-12-04 |
| 1225412588 | Corsica River Mental Health Services, Inc. | Clinic/Center | 933 S Talbot St, Suite 4, St Michaels, MD 21663-2604 | 2015-07-16 |
| 1568762599 | Corsica River Mental Health Services, Inc. | Clinic/Center | 933 S Talbot St, Suite 4, St Michaels, MD 21663-2604 | 2010-10-25 |
| 1225200025 | Douglas Jon Hamsher | Physician Assistant | 933 S Talbot St Ste 4, St Michaels, MD 21663-2605 | 2008-04-01 |
| Find all providers in zip 21663 | ||||
| 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 |
|---|---|---|---|---|
| 1679174536 | Daily Care Pharmacy | Pharmacy | 167 Jennifer Rd Ste D, Annapolis, MD 21401-7910 | 2020-11-05 |
| 1053925693 | Universal Products and Services, LLC. | Pharmacy | 1810 Crain Hwy S Unit B, Glen Burnie, MD 21061-5505 | 2020-09-01 |
| 1235751470 | Complete Wellness Pharmacy LLC | Pharmacy | 5732 Buckeystown Pike Ste 24, Frederick, MD 21704-5180 | 2020-05-11 |
| 1336774363 | Padonia Village Pharmacy | Pharmacy | 17 E Padonia Rd, Lutherville Timonium, MD 21093-2306 | 2020-03-10 |
| 1881234904 | The Pharmacia | Pharmacy | 1809 Reisterstown Rd Ste 115, Pikesville, MD 21208-6329 | 2020-01-07 |
| 1184266355 | Kent Island Pharmacy, LLC | Pharmacy | 382 Thompson Creek Mall, Stevensville, MD 21666-2593 | 2019-10-09 |
| 1730720624 | Tidewater Drug and Health Care | Pharmacy | 30170 Three Notch Rd Unit B, Charlotte Hall, MD 20622-4119 | 2019-10-02 |
| 1598312654 | Alsbiz Group Inc. | Pharmacy | 602 Cherry Hill Rd, Baltimore, MD 21225-1229 | 2019-08-23 |
| 1356997407 | Well-rx LLC | Pharmacy | 10151 York Rd Ste 105-106, Cockeysville, MD 21030-3314 | 2019-08-14 |
| 1184277279 | The Pharmacy At, Inc | Pharmacy | 524 E Belvedere Ave Ste A, Baltimore, MD 21212-3701 | 2019-07-18 |
| Find all providers with the same taxonomy | ||||
| City | ST MICHAELS |
| Zip Code | 21663 |
Please comment or provide details below to improve the information on PEMBERTON PHARMACY & GIFT ST MICHAELS, LLC.
| 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.