PARTNERS PHARMACY OF MARYLAND LLC (NPI# 1649470220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649470220 |
| Entity Type | Organization |
| Organization Name | PARTNERS PHARMACY OF MARYLAND LLC |
| Other Organization Name | ADVANCED PHARMACY |
| Practice Address |
8910 Route 108 Suite C Columbia MD 21045-2151 |
| Practice Telephone | 4109109260 |
| Practice Fax Number | 4107400146 |
| Mailing Telephone | 4109109260 |
| Mailing Fax Number | 4107400146 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | MR. JAY R PALIN (VP-PI) |
| Authorized Official Telephone | 9089319111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PW0304 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPPES | 1649470220 | 01 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2133510 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Pharmacy | Doing Business As Name - Organization |
| Street Address |
8910 ROUTE 108 SUITE C |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| 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 |
|---|---|---|---|---|
| 1811248412 | Genoa Healthcare, LLC | Pharmacy | 4 Harbison Way, Columbia, SC 29212-3402 | 2012-09-24 |
| 1043571367 | Nayosha LLC | Pharmacy | 8900 Columbia 100 Pkwy Ste H, Columbia, MD 21045-2336 | 2012-06-04 |
| 1245390707 | Longs Closed Door Pharmacy Inc | Pharmacy | 111 Executive Center Dr Ste 222, Columbia, SC 29210-8425 | 2006-12-12 |
| 1710069596 | Palmetto Rx Solutions Inc | Pharmacy | 8 Harbison Way, Columbia, SC 29212-3402 | 2006-10-20 |
| 1396847653 | Interlock Pharmacy Systems, LLC | Pharmacy | 4509 I-70 Drive S.e., Columbia, MO 65201 | 2006-09-05 |
| 1740201706 | Pltcp LLC | Pharmacy | 317 Zimalcrest Dr, Columbia, SC 29210-6833 | 2006-07-22 |
| 1649228909 | Lifehme, Inc. | Pharmacy | 454 Berryhill Rd, Columbia, SC 29210-6447 | 2006-05-05 |
| 1326042888 | Columbia Discount Drugs, Inc | Pharmacy | 1201 Highway 13 N, Columbia, MS 39429-2015 | 2005-06-11 |
| 1932725033 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2020-06-24 |
| 1336523745 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2015-07-15 |
| Find all providers in COLUMBIA | ||||
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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.