KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY (NPI# 1518527704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518527704 |
| Entity Type | Organization |
| Organization Name | KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY |
| Other Organization Name | ST. JOSEPH MEDICAL CENTER PHARMACY |
| Practice Address |
7505 Osler Dr Towson MD 21204-7736 |
| Practice Telephone | 4432791998 |
| Practice Fax Number | 4438954554 |
| Mailing Telephone | 4432791998 |
| Mailing Fax Number | 4438954554 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | MR. SYAM POTLURI (MANAGING MEMBER) |
| Authorized Official Telephone | 4438233350 |
| Is Organization Subpart | Y |
| Parent Organization Name | KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| st. Joseph medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847443 | Koulward Health LLC Population Health Pharmacy | Durable Medical Equipment & Medical Supplies | 7505 Osler Dr Ste 102, Towson, MD 21204-7737 | 2020-07-02 |
| 1346734464 | Koulward Health LLC Population Health Pharmacy | Pharmacy | 9 Aberdeen Shopping Plz, Aberdeen, MD 21001-2247 | 2018-06-21 |
| Street Address |
7505 OSLER DR |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-7736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102357 | Mark A. Goldstein | Internal Medicine | 7505 Osler Dr, Ste 103, Towson, MD 21204-7737 | 2005-05-31 |
| 1598137044 | Kam Keung Chan | Pharmacist | 7505 Osler Dr, Towson, MD 21204-7736 | 2015-10-23 |
| 1043600075 | Deborah Schrader | Pharmacist | 7505 Osler Dr, Towson, MD 21204-7736 | 2015-01-29 |
| 1265834915 | Samantha Gealoris | Dietitian, Registered | 7505 Osler Dr, O'dea Building Suite 310, Towson, MD 21204-7736 | 2014-09-24 |
| 1033524889 | Timothy Lubin | Pharmacist | 7505 Osler Dr, #102, Towson, MD 21204-7736 | 2014-06-30 |
| 1184047664 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7505 Osler Dr, Towson, MD 21204-7736 | 2014-02-04 |
| 1881034833 | Lauren Edelman | Physician Assistant | 7505 Osler Dr, Suite 302, Towson, MD 21204-7736 | 2013-07-04 |
| 1295089464 | Towson South Surgical Center, LLC | Clinic/Center | 7505 Osler Dr, Ste 508, Towson, MD 21204-7736 | 2012-11-09 |
| 1043579899 | Liana G Chotikul | Nurse Practitioner | 7505 Osler Dr, Ste 104, Towson, MD 21204-7736 | 2012-05-15 |
| 1326305145 | Kathryn Fontaine Schweier | Physician Assistant | 7505 Osler Dr, Suite 104, Towson, MD 21204-7737 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| 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 |
|---|---|---|---|---|
| 1669527784 | Ruxton Pharmacy Inc | Pharmacy | 7621 Bellona Ave, Towson, MD 21204-6610 | 2007-01-25 |
| 1548784812 | Jp Pharmacy LLC | Pharmacy | 515 Fairmount Ave Ste 130, Towson, MD 21286-8520 | 2017-07-28 |
| 1831527357 | Austin Pharmacy Inc | Pharmacy | 901 Dulaney Valley Rd, Suite 300, Towson, MD 21204-2600 | 2013-10-18 |
| 1952642019 | Btcn, LLC | Pharmacy | 716 Dulaney Valley Rd, Towson, MD 21204-5109 | 2013-03-13 |
| 1467790089 | Weis Markets Inc | Pharmacy | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2013-01-17 |
| 1194052837 | Towson Pharmacy Inc | Pharmacy | 32 West Rd, Suite 100, Towson, MD 21204-2302 | 2009-11-16 |
| 1366625279 | Medbank of Maryland Inc | Pharmacy | 7400 York Rd, Suite 400, Towson, MD 21204-7531 | 2007-12-13 |
| 1548451966 | Osler Medical Pharmacy Pa | Pharmacy | 7600 Osler Dr, Ste 110, Towson, MD 21204-7735 | 2007-08-09 |
| 1326154246 | Professional Pharmacy Services, Inc. | Pharmacy | 7505 Osler Dr, Towson, MD 21204-7736 | 2006-08-22 |
| 1912012220 | Professional Pharmacy Services, Inc. | Pharmacy | 515 Fairmount Ave, Towson, MD 21286-5466 | 2006-08-20 |
| Find all providers in TOWSON | ||||
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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.