MID-ATLANTIC PHARMACY, LLC (NPI# 1881735082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881735082 |
Entity Type | Organization |
Organization Name | MID-ATLANTIC PHARMACY, LLC |
Practice Address |
9715 Healthway Dr Pob 829 Berlin MD 21811-3500 |
Mailing Address |
9715 Healthway Dr P.o. Box 829 Berlin MD 21811-3500 |
Practice Telephone | 4106410036 |
Practice Fax Number | 4106410033 |
Mailing Telephone | 4106410036 |
Mailing Fax Number | 4106410033 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ANNE T COPELAND (PHARMACY MANAGER) |
Authorized Official Telephone | 4106410036 |
Authorized Official Credential | R.PH. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
P03141 | MD | Suppliers |
Street Address |
9715 HEALTHWAY DR POB 829 |
City | BERLIN |
State | MD |
Zip Code | 21811-3500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275503997 | Jeffrey Kent Zibell | Internal Medicine | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2006-01-25 |
1104472729 | Lee Anne Krystle Rico Chan | Occupational Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2019-08-11 |
1063909398 | John A Hancock | Nurse Practitioner | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2018-04-23 |
1508399940 | Berlin Health Care LLC | Physical Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2017-04-04 |
1861947913 | Berlin Health Care LLC | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2016-08-18 |
1659826816 | Laura Elizabeth Emerson | Speech-Language Pathologist | 9715 Healthway Dr, Berlin, MD 21811 | 2016-08-17 |
1205288651 | Mia Catherine Darbenzio | Specialist/Technologist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2016-07-11 |
1699191676 | Karen Vito | Physical Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-13 |
1033535232 | Karen J Holmes | Occupational Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-12 |
1093131658 | Aimee Barnes | Physical Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
Find all providers in zip 21811 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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 |
---|---|---|---|---|
1558704072 | Care 4 U Pharmacy, Inc. | Pharmacy | 216 Christian Ln, Suite B, Berlin, CT 06037-1450 | 2013-04-15 |
1407253891 | A V P Pharma Inc | Pharmacy | 11307 Manklin Creek Rd, Unit 1, Berlin, MD 21811-4014 | 2014-12-01 |
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1689209496 | Polaris Pharmacy Services of Maryland, LLC | Pharmacy | 9113 Liberty Rd, Randallstown, MD 21133-3530 | 2020-03-12 |
1740791177 | Foers Long Term Care Pharmacy | Pharmacy | 1300 Piccard Dr Ste Ll-16, Rockville, MD 20850-4303 | 2017-10-12 |
1114386174 | Smithsburg Pharmacy LLC | Pharmacy | 22030 Jefferson Blvd, Smithsburg, MD 21783-2057 | 2016-02-19 |
1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
1043571367 | Nayosha LLC | Pharmacy | 8900 Columbia 100 Pkwy Ste H, Columbia, MD 21045-2336 | 2012-06-04 |
1972886927 | Priority Healthcare | Pharmacy | 751 Elkton Blvd, Elkton, MD 21921-5425 | 2011-09-26 |
1851523765 | Professional Care Pharmacy Inc | Pharmacy | 806 Reisterstown Rd, Unit 3, Pikesville, MD 21208-4215 | 2009-08-12 |
1093941478 | Global Health Pharmacy, Inc | Pharmacy | 7500 Montpelier Rd Ste 106, Laurel, MD 20723-6012 | 2009-05-30 |
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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.