COMPLETE WELLNESS PHARMACY LLC (NPI# 1235751470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235751470 |
Entity Type | Organization |
Organization Name | COMPLETE WELLNESS PHARMACY LLC |
Practice Address |
5732 Buckeystown Pike Ste 24 Frederick MD 21704-5180 |
Practice Telephone | 2406084666 |
Practice Fax Number | 2406084666 |
Mailing Telephone | 2406084666 |
Mailing Fax Number | 2406084666 |
Enumeration Date | 2020-05-11 |
Last Update Date | 2020-05-11 |
Authorized Official Name | OMAR SIDDIQI (AUTHORIZED INDIVIDUAL) |
Authorized Official Telephone | 2406084666 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Complete Wellness Pharmacy | Doing Business As Name - Organization |
Street Address |
5732 BUCKEYSTOWN PIKE STE 24 |
City | FREDERICK |
State | MD |
Zip Code | 21704-5180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
Find all providers in zip 21704 |
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 |
---|---|---|---|---|
1861798456 | Thomas Johnson Pharmacy | Pharmacy | 177 Thomas Johnson Dr, Suite B, Frederick, MD 21702-5101 | 2011-01-31 |
1427157874 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 8032 Liberty Rd # C, Frederick, MD 21701-3239 | 2006-09-22 |
1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
1669576591 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 402 S Jefferson St, Frederick, MD 21701-6208 | 2006-09-12 |
1679676498 | Maryland Cvs Pharmacy LLC | Pharmacy | 300 Ballenger Center Dr, Frederick, MD 21703-7096 | 2006-09-07 |
1407480361 | Frederick Health Hospital Inc | Pharmacy | 400 W 7th St, Frederick, MD 21701-4506 | 2020-02-28 |
1740709252 | Frederick Pharmacy Inc | Pharmacy | 219 E Josephine Ave, Frederick, OK 73542-2017 | 2017-09-15 |
1447656616 | Sahajanand LLC | Pharmacy | 190 Thomas Johnson Dr Ste 3, Frederick, MD 21702-4879 | 2014-11-14 |
1811396104 | Cvs Pharmacy | Pharmacy | 1460b W Patrick St, Frederick, MD 21702-3750 | 2014-08-22 |
1912273137 | Walgreen Co | Pharmacy | 1595 Opossumtown Pike, Frederick, MD 21702-4313 | 2012-04-02 |
Find all providers in FREDERICK |
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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.