PEMBERTON PHARMACY INC (NPI# 1710437785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710437785 |
| Entity Type | Organization |
| Organization Name | PEMBERTON PHARMACY INC |
| Other Organization Name | PEMBERTON PHARMACY & GIFT |
| Practice Address |
1147 Pemberton Dr Salisbury MD 21801-2529 |
| Practice Telephone | 4106770707 |
| Practice Fax Number | 4106770799 |
| Mailing Telephone | 4106770707 |
| Mailing Fax Number | 4106770799 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | CRAIG SCHURY (PRESIDENT) |
| Authorized Official Telephone | 4106770707 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | P04587 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 0135046 | 05 |
| Other Name | Type Code |
|---|---|
| Pemberton Pharmacy & Gift | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588728398 | Pemberton Pharmacy Inc | Pharmacy | 1147 Pemberton Dr, Salisbury, MD 21801 | 2006-12-19 |
| 1992816045 | Pemberton Pharmacy Inc | Pharmacy | 1147 Pemberton Drive, Salisbury, MD 21801 | 2006-08-31 |
| Street Address |
1147 PEMBERTON DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588728398 | Pemberton Pharmacy Inc | Pharmacy | 1147 Pemberton Dr, Salisbury, MD 21801 | 2006-12-19 |
| 1548661325 | Matthew Balish | Pharmacist | 1147 Pemberton Dr, Salisbury, MD 21801 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912494709 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste. A, Salisbury, MO 65281 | 2018-04-17 |
| 1962894998 | One Stop Healthservices LLC | Pharmacy | 811 Priscilla St, Salisbury, MD 21804-3843 | 2015-02-27 |
| 1346670304 | Sequon, Inc. | Pharmacy | 505 E. Main Street, Salisbury, MD 21804 | 2013-11-12 |
| 1871833095 | Price Wellness Enterprises | Pharmacy | 524 Jake Alexander Blvd W, Salisbury, NC 28147-1366 | 2013-02-25 |
| 1093004533 | Pemberton Apothecary, LLC | Pharmacy | 1306 S Salisbury Blvd, Units 9&10, Salisbury, MD 21801-6841 | 2011-04-05 |
| 1487808077 | Sai Swami Inc | Pharmacy | 910 West Rd, Salisbury, MD 21801-3030 | 2008-11-09 |
| 1548332331 | Rowan Drug Inc | Pharmacy | 1357 W Innes St, Salisbury, NC 28144-3101 | 2006-11-15 |
| 1437256369 | Eastern Shore Pharmacy Inc | Pharmacy | 400 Eastern Shore Dr Ste 103, Salisbury, MD 21804-5513 | 2006-09-20 |
| 1982709309 | Medexpress Pharmacy, Ltd. | Pharmacy | 1431 W. Innes Street, Salisbury, NC 28145 | 2006-09-13 |
| 1992816045 | Pemberton Pharmacy Inc | Pharmacy | 1147 Pemberton Drive, Salisbury, MD 21801 | 2006-08-31 |
| Find all providers in SALISBURY | ||||
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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.