OLD LINE HEALTHCARE INC (NPI# 1356489348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356489348 |
| Entity Type | Organization |
| Organization Name | OLD LINE HEALTHCARE INC |
| Other Organization Name | POTOMAC PHARMATECH |
| Practice Address |
16107a Elliott Pkwy Williamsport MD 21795-4084 |
| Practice Telephone | 3012236616 |
| Practice Fax Number | 3012236679 |
| Mailing Telephone | 3012236616 |
| Mailing Fax Number | 3012236679 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | ERIC SHELLEY (VP OF OPERATIONS) |
| Authorized Official Telephone | 7178483445 |
| Authorized Official Credential | R PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | MO0560293 | WV | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PW0296 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2038215 | 01 | |
| WV | 3810023127 | 05 | |
| MD | 012478800 | 05 | |
| PA | 1023189160001 | 05 |
| Other Name | Type Code |
|---|---|
| POTOMAC PHARMATECH | Doing Business As Name - Organization |
| Street Address |
16107A ELLIOTT PKWY |
| City | WILLIAMSPORT |
| State | MD |
| Zip Code | 21795-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447677158 | Physician's Mobile X-ray, Inc | Radiology | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2014-03-20 |
| 1720404767 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2014-03-14 |
| 1265717342 | Natalie R Logsdon | Pharmacist | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736088 | Cynthia L Campbell | Nurse Anesthetist, Certified Registered | 10212 Governor Lane Blvd Unit 1004, Williamsport, MD 21795 | 2005-11-02 |
| 1417375692 | Jamie Clare Worsley | Family Medicine | 16605 Kendle Rd, Williamsport, MD 21795 | 2014-04-03 |
| 1548456460 | Judith Ann Christner | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795 | 2007-09-25 |
| 1366530057 | Penbec Inc | Pharmacy | 34 N Conococheague St, Williamsport, MD 21795-1004 | 2006-10-10 |
| 1386717544 | Shannon Leigh Mellott | Occupational Therapy Assistant | 154 N Artizan St, Williamsport, MD 21795-1104 | 2006-11-16 |
| 1023586856 | Brianna Rachelle Dorsey | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-09 |
| 1134697311 | Megan Dmuchowski | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-06 |
| 1427557800 | Flagship Rehabilitation, Inc | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-02-12 |
| 1154838811 | Jamie Auxt Mcelwee | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-01-03 |
| 1346757275 | Christopher George Nyack | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2017-12-31 |
| Find all providers in zip 21795 | ||||
| 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 |
|---|---|---|---|---|
| 1821029430 | Neighborcare Pharmacy Services, Inc. | Pharmacy | 3570 W 4th St, Suite 2, Williamsport, PA 17701-4107 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494174 | Hpc Health LLC | Pharmacy | 120 E Pulaski Hwy Unit 120, Elkton, MD 21921-6430 | 2020-10-09 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 21795 |
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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.