CIVIC HEALTH SERVICES LLC (NPI# 1861647216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861647216 |
| Entity Type | Organization |
| Organization Name | CIVIC HEALTH SERVICES LLC |
| Other Organization Name | MT HERMON DISCOUNT PHARMACY |
| Practice Address |
1207 Mount Hermon Rd Salisbury MD 21804-5111 |
| Practice Telephone | 4107495900 |
| Practice Fax Number | 4107495901 |
| Mailing Telephone | 4107495900 |
| Mailing Fax Number | 4107495901 |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | WAHEED AZIZ (PHARMACIST) |
| Authorized Official Telephone | 4104308500 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P04859 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 020248700 | 05 | |
| PK | 2118209 | 01 |
| Other Name | Type Code |
|---|---|
| MT HERMON DISCOUNT PHARMACY | Doing Business As Name - Organization |
| Street Address |
1207 MOUNT HERMON RD |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| 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 |
|---|---|---|---|---|
| 1104244698 | Medplus Pharmacy, LLC | Pharmacy | 1411 S Salisbury Blvd, Unit B, Salisbury, MD 21801-7126 | 2014-04-01 |
| 1023275203 | Meezaan Corporation | Pharmacy | 817 Snow Hill Rd, Ste 2, Salisbury, MD 21804-1900 | 2008-05-16 |
| 1033239330 | Walgreen Co | Pharmacy | 1505 E Innes St, Salisbury, NC 28146-6018 | 2007-03-30 |
| 1700937661 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1702 E Innes St, Salisbury, NC 28146-6024 | 2007-01-16 |
| 1689735706 | Food Lion LLC | Pharmacy | 2210 Executive Dr., Salisbury, NC 28145 | 2006-12-12 |
| 1114932118 | Walgreen Co | Pharmacy | 1906 W Innes St, Salisbury, NC 28144-2433 | 2006-07-29 |
| 1215952866 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 125 W College Ave, Salisbury, MD 21804-6961 | 2006-07-13 |
| 1528578895 | Daprile Rx, LLC | Pharmacy | 20 Main Street, Salisbury, CT 06068 | 2017-10-02 |
| 1194242891 | Walgreen Co | Pharmacy | 1605 E Innes St, Salisbury, NC 28146-6022 | 2017-08-24 |
| 1033576087 | Moose Pharmacy of Salisbury | Pharmacy | 1408 W Innes St, Salisbury, NC 28144-2502 | 2016-01-21 |
| 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.