ST JOHNS PHARMACY INC


Address: 24288 Three Notch Rd, Hollywood, MD 20636
Phone: 3013733340

ST JOHNS PHARMACY INC (NPI# 1245397678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245397678
Entity Type Organization
Organization Name ST JOHNS PHARMACY INC
Other Organization Name ST JOHNS PROGRESSIVE PHARMACY
Practice Address 24288 Three Notch Rd
Hollywood
MD 20636
Mailing Address Po Box 790
Hollywood
MD 20636-0790
Practice Telephone 3013733340
Practice Fax Number 3013733691
Mailing Telephone 3013733340
Mailing Fax Number 3013733691
Enumeration Date 2007-01-03
Last Update Date 2012-12-26
Authorized Official Name LEO MALLARD (OWNER)
Authorized Official Telephone 4107415150
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
P01320 MD Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 2114421 01
MD 434192900 05

Other Provider/Organization Names

Other Name Type Code
ST JOHNS PROGRESSIVE PHARMACY Doing Business As Name - Organization

Office Location

Street Address 24288 THREE NOTCH RD
City HOLLYWOOD
State MD
Zip Code 20636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518483452 Rachel Werner Pharmacist 24288 Three Notch Rd, Hollywood, MD 20636-4628 2017-08-22
1326589060 Sahar Kassem Pharmacist 24288 Three Notch Rd, Hollywood, MD 20636-4628 2017-03-14
1215394887 Suzanne Moebius Pharmacist 24288 Three Notch Rd, Hollywood, MD 20636-4628 2016-01-26
1316340151 Dheera Kapoor Semidey Pharmacist 24288 Three Notch Rd, Hollywood, MD 20636-4628 2014-10-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841708427 Lisa Early Case Manager/Care Coordinator 24077 John Cameron Way, Hollywood, MD 20636 2018-01-17
1326439365 Maryland Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 24288 Three Notch Rd., Hollywood, MD 20636 2015-02-12
1972810612 Kathleen Latona Boyles Pharmacist 24288 Three Notch Road, Hollywood, MD 20636 2010-09-01
1386825271 Vijaya Guduri Internal Medicine 24035 Three Notch Road, Shah Associates Md LLC, Hollywood, MD 20636 2007-11-19
1194824755 Julie Wilkening Chiropractor 24351 Mervell Dean Rd #115, Hollywood, MD 20636 2006-09-21
1225134281 Mary Rice Hughes Registered Nurse 44101 Airport View Dr., Hollywood, MD 20636 2006-09-16
1376654194 Suzanne Janis Pelz Counselor 44101 Airport View Drive, Hollywood, MD 20636 2006-08-31
1831406883 Hanna Kristina Dennis Physician Assistant 24035 Three Notch Rd, Hollywood, MD 20636 2010-09-10
1750549010 Iram A Khan Internal Medicine 24035 Three Notch Road, Hollywood, MD 20636 2008-05-22
1851473110 John Elliott Walker Registered Nurse 44101 Airport View Drive, Hollywood, MD 20636 2006-10-19
Find all providers in zip 20636

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528689015 Water Lilly Pharmacy LLC Pharmacy 3700 Washington St Ste 206, Hollywood, FL 33021-8249 2020-05-06
1700252939 Bolluk Pharmacy Corp Pharmacy 7120 Stirling Rd, Hollywood, FL 33024-1650 2015-08-11
1578994257 Sky Pharmacy and Discount Corp Pharmacy 2414 Sheridan St, Hollywood, FL 33020-2064 2013-12-06
1134437403 Emerald Hills Pharmacy LLC Pharmacy 3000 Stirling Rd, Ste 120, Hollywood, FL 33021-2069 2010-09-20
1871743310 Infupharma Pharmacy 2013 Harding St, Hollywood, FL 33020-2714 2008-09-21
1003083569 White Orchid Pharmacy Inc Pharmacy 2328b Hollywood Blvd, Hollywood, FL 33020-1201 2008-05-14
1396837407 Broward Pharmacy & Discount Store Inc Pharmacy 2323 N 60 Avenue, Hollywood, FL 33021 2006-09-28
1770687758 Holiday Cvs LLC Pharmacy 6665 Taft St, Hollywood, FL 33024-4010 2006-09-12
1285738146 Holiday Cvs LLC Pharmacy 4599 Sheridan St, Hollywood, FL 33021-3515 2006-09-12
1336243203 Holiday Cvs LLC Pharmacy 901 N Federal Hwy, Hollywood, FL 33020-3537 2006-09-12
Find all providers in HOLLYWOOD

Competitor

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City HOLLYWOOD
Zip Code 20636

Improve Information

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Dataset Information

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.

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