SHALOM PHARMACY (NPI# 1568621456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568621456 |
| Entity Type | Organization |
| Organization Name | SHALOM PHARMACY |
| Other Organization Name | SHALOM PHARMACY |
| Practice Address |
9131 Piscataway Rd Ste 260 Clinton MD 20735-2508 |
| Practice Telephone | 3018565663 |
| Practice Fax Number | 3018568563 |
| Mailing Telephone | 3018565663 |
| Mailing Fax Number | 3018568563 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | ABIODUN AREWA (OWNER) |
| Authorized Official Telephone | 3015120868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P04761 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2133990 | 01 |
| Other Name | Type Code |
|---|---|
| SHALOM PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760722151 | Shalom Pharmacy | Student in an Organized Health Care Education/Training Program | 7248 Main St, Flushing, NY 11367-2408 | 2013-02-21 |
| Street Address |
9131 PISCATAWAY RD STE 260 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235122680 | Patrick Haugh | Specialist | 9131 Piscataway Rd, Suite 620, Clinton, MD 20735-2508 | 2005-08-31 |
| 1366057523 | Prince George's County Health Department | Public Health or Welfare | 9131 Piscataway Rd, Clinton, MD 20735-2508 | 2020-09-14 |
| 1659835684 | Rosemond Dickson Bartels, Crnp, LLC | Obstetrics & Gynecology | 9131 Piscataway Rd, Clinton, MD 20735-2508 | 2019-01-23 |
| 1497124796 | Myeyedr Optometry of Maryland, LLC | Optometrist | 9131 Piscataway Rd, Ste 120, Clinton, MD 20735-2508 | 2015-09-17 |
| 1235450099 | Herman Daniels | Internal Medicine | 9131 Piscataway Rd, 430, Clinton, MD 20735-2508 | 2010-06-16 |
| 1386976512 | Woman To Woman Obgyn PC | Specialist | 9131 Piscataway Rd, Suite 540, Clinton, MD 20735-2508 | 2010-02-15 |
| 1891932554 | Joseph Maloney | Dentist | 9131 Piscataway Rd, Suite 739, Clinton, MD 20735-2508 | 2009-01-15 |
| 1699921411 | George E. Urban, Jr Md Pa | Otolaryngology | 9131 Piscataway Rd, Suite 410, Clinton, MD 20735-2508 | 2008-08-12 |
| 1205082245 | Vanessa Kay Gordon | Dentist | 9131 Piscataway Rd, Suite 210, Clinton, MD 20735 | 2008-08-11 |
| 1891902268 | Raj & Pushma Samtani Mdpc | Internal Medicine | 9131 Piscataway Rd, 280, Clinton, MD 20735-2508 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| 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 |
|---|---|---|---|---|
| 1700342896 | Mendel Pharmacy Inc | Pharmacy | 9131 Piscataway Rd Ste 200, Clinton, MD 20735-2578 | 2019-02-14 |
| 1568902427 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2017-02-26 |
| 1063965101 | Jcm Enterprises Inc | Pharmacy | 910 N Charles G Seivers Blvd, Clinton, TN 37716-3816 | 2016-07-25 |
| 1154702900 | Hunts Mill Pharmacy Inc | Pharmacy | 14 Main St Fl 1, Clinton, NJ 08809 | 2015-06-17 |
| 1053702860 | Wal-mart Stores East Lp | Pharmacy | 9181 Highway 67, Clinton, LA 70722-4919 | 2015-02-16 |
| 1134543440 | Physicans Rx Pharmacy of Clinton Inc | Pharmacy | 9131 Piscataway Rd Ste 670, Clinton, MD 20735-2579 | 2014-02-06 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1184883019 | Walgreen Co | Pharmacy | 9001 Woody Ter Ste B, Clinton, MD 20735-4256 | 2008-06-05 |
| 1437362209 | Clinton Drugstore | Pharmacy | 1027 St Helena, Clinton, LA 70722-1027 | 2007-05-08 |
| Find all providers in CLINTON | ||||
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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.