EMPIRE PROFESSIONAL PHARMACY INC (NPI# 1194752667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194752667 |
| Entity Type | Organization |
| Organization Name | EMPIRE PROFESSIONAL PHARMACY INC |
| Practice Address |
200 Hospital Dr Ste 107 Glen Burnie MD 21061-5884 |
| Practice Telephone | 4107870030 |
| Practice Fax Number | 4107870030 |
| Mailing Telephone | 4107870030 |
| Mailing Fax Number | 4107870033 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | MR. JEREMY CUNDIFF (PRESIDENT) |
| Authorized Official Telephone | 4107870030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | P00948 | MD | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 256723000 | 05 | |
| MD | 419578700 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2112009 | 01 |
| Street Address |
200 HOSPITAL DR STE 107 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621537 | Laura Schultz O'donovan | Nurse Practitioner | 200 Hospital Dr, Glen Burnie, MD 21061-5884 | 2019-07-19 |
| 1861949570 | Holly Richard | Physical Therapist | 200 Hospital Dr, Empire Med Building, Glen Burnie, MD 21061-5884 | 2016-09-10 |
| 1649726506 | Kristen Chandler Clouser | Physician Assistant | 200 Hospital Dr, Glen Burnie, MD 21061 | 2016-08-31 |
| 1962853119 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 200 Hospital Dr, Empire Med Bldg, Glen Burnie, MD 21061 | 2016-06-29 |
| 1285082610 | Synergy Orthopedics, LLC | Prosthetic/Orthotic Supplier | 200 Hospital Dr, Suite 116, Glen Burnie, MD 21061-5884 | 2016-05-26 |
| 1699129437 | Michael Sturtevant Mcgraw | Counselor | 200 Hospital Dr, #300, Glen Burnie, MD 21061-5884 | 2016-04-18 |
| 1689045296 | Kristen Ashley Creger | Physical Therapist | 200 Hospital Dr, Glen Burnie, MD 21061 | 2015-10-08 |
| 1578978201 | Nathaniel Mckay | Optometrist | 200 Hospital Dr, Suite 600, Glen Burnie, MD 21061-5884 | 2014-06-20 |
| 1003241316 | Darien Antoine Mellerson | Physical Therapist | 200 Hospital Dr, Empire Medical Building, Glen Burnie, MD 21061-5884 | 2013-09-05 |
| 1508204389 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 200 Hospital Dr, Empire Med. Bld, Glen Burnie, MD 21061 | 2013-06-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1053925693 | Universal Products and Services, LLC. | Pharmacy | 1810 Crain Hwy S Unit B, Glen Burnie, MD 21061-5505 | 2020-09-01 |
| 1720550791 | Glen Burnie Pharmacy | Pharmacy | 85 Kindred Way Apt 102, Glen Burnie, MD 21061-5246 | 2019-01-01 |
| 1972817492 | Shoprite of Glen Burnie LLC | Pharmacy | 6716 Ritchie Hwy, Glen Burnie, MD 21061-2319 | 2010-07-27 |
| 1003988783 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 7400 Ritchie Hwy, Glen Burnie, MD 21061-3110 | 2006-11-15 |
| 1952411571 | Costco Wholesale Corporation | Pharmacy | 575 E Ordnance Rd, Glen Burnie, MD 21060 | 2006-08-30 |
| 1821016346 | Wal-mart Stores East Lp | Pharmacy | 6721 Chesapeake Center Dr, Glen Burnie, MD 21060-6572 | 2006-07-17 |
| 1700125085 | Quarterfield Pharmacy | Pharmacy | 7671 Quarterfield Rd, Suite 103, Glen Burnie, MD 21061-4998 | 2013-02-06 |
| 1255438180 | Intrade Inc | Pharmacy | 1600 Crain Hwy S, Ste 110, Glen Burnie, MD 21061-5577 | 2006-09-20 |
| 1780791715 | Professional Pharmacy Services, Inc. | Pharmacy | 325 Hospital Dr, Glen Burnie, MD 21061-5860 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174536 | Daily Care Pharmacy | Pharmacy | 167 Jennifer Rd Ste D, Annapolis, MD 21401-7910 | 2020-11-05 |
| 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 |
| 1326690843 | Nai Saturn Eastern LLC | Pharmacy | 3702 East-west Highway, Hyattsville, MD 20782-2004 | 2019-07-15 |
| Find all providers with the same taxonomy | ||||
| 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.