NORTHSIDE PHARMACY LONG TERM CARE INC


Address: 707 North Bridge Street, Suite C, Elkton, MD 21921
Phone: 4432078048

NORTHSIDE PHARMACY LONG TERM CARE INC (NPI# 1356716864) 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) 1356716864
Entity Type Organization
Organization Name NORTHSIDE PHARMACY LONG TERM CARE INC
Practice Address 707 North Bridge Street
Suite C
Elkton
MD 21921
Practice Telephone 4432078048
Practice Fax Number 4432078396
Mailing Telephone 4432078048
Mailing Fax Number 4432078396
Enumeration Date 2015-12-09
Last Update Date 2015-12-09
Authorized Official Name DAVID H AYRES (PRESIDENT)
Authorized Official Telephone 4432078048
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
MD Suppliers

Office Location

Street Address 707 NORTH BRIDGE STREET
SUITE C
City ELKTON
State MD
Zip Code 21921

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1922571959 Christina Marie Diamonte-mock Social Worker 306 W. Pulaski Highway, Elkton, MD 21921 2019-01-02
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1356884605 Kenneth Wayne Favors Counselor 8 Brompton Court, Elkton, MD 21921 2016-11-18
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801494174 Hpc Health LLC Pharmacy 120 E Pulaski Hwy Unit 120, Elkton, MD 21921-6430 2020-10-09
1972886927 Priority Healthcare Pharmacy 751 Elkton Blvd, Elkton, MD 21921-5425 2011-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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
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
1841442019 Vita Pharmacy LLC Pharmacy 5617 Belair Rd, Baltimore, MD 21206-3619 2008-10-18
1649470220 Partners Pharmacy of Maryland LLC Pharmacy 8910 Route 108, Suite C, Columbia, MD 21045-2151 2007-07-20
1366597825 Northern Pharmacy and Medical Equipment, LLC Pharmacy 7816 Harford Rd, Baltimore, MD 21234 2007-01-24
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Competitor

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City ELKTON
Zip Code 21921

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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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