NPIMap

Organization Active NPI

Friendsville Pharmacy Uphold LLC

Doing business as Friendsville Pharmacy

  • Pharmacy
  • Friendsville, MD
National Provider Identifier
1023007275
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P06419 Issued in MD
Legal business name
FRIENDSVILLE PHARMACY UPHOLD LLC
Doing business as
Friendsville Pharmacy
Practice address
248 Maple St
Friendsville, MD 21531-2122
Phone
(301) 746-5881
Fax
(301) 746-5803
NPI assigned
Oct 20, 2005
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer UpholdNPI 1134441942
Title
Pharmd
Phone
(814) 483-4310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P06419 MD Primary

Addresses

Primary practice location

248 Maple St
Friendsville, MD 21531-2122

Mailing address

PO Box 127
Friendsville, MD 21531-0127
Phone (301) 746-5881

Other identifiers 2

IdentifierTypeStateIssuer
2146948OtherPK
3810028824MedicaidMD

Other names 1

  • Friendsville Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Friendsville Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

248 Maple St
Friendsville, MD 21531
Phone (301) 746-4160

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1023007275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "FRIENDSVILLE",
            "state": "MD",
            "postal_code": "215310127",
            "telephone_number": "301-746-5881",
            "fax_number": "301-746-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 MAPLE ST",
            "city": "FRIENDSVILLE",
            "state": "MD",
            "postal_code": "215312122",
            "telephone_number": "301-746-5881",
            "fax_number": "301-746-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSVILLE PHARMACY UPHOLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "UPHOLD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "814-483-4310"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P06419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146948",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810028824",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendsville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.