Active NPI
Olney Professional Pharmacy Inc
- Community/Retail Pharmacy
- Olney, MD
National Provider Identifier
1053404491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P04031
- Legal business name
- OLNEY PROFESSIONAL PHARMACY INC
- Practice address
- 18111 Prince Philip Dr Ste 100
Olney, MD 20832-1503 - Phone
- (301) 774-9812
- Fax
- (301) 774-9813
- NPI assigned
- Sep 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Helen Yi, RPH
- Title
- President
- Phone
- (301) 774-9812
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P04031 | MD | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
18111 Prince Philip Dr Ste 100
Olney, MD 20832-1503
Mailing address
18111 Prince Philip Dr
Suite 100
Olney, MD 20832-1513
Phone (301) 774-9812
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2037816 | Other | PK | |
| 001298000 | Medicaid | MD | |
| 01888100 | Medicaid | MD |
Other names 1
- OLNEY PROFESSIONAL PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210419001446 | DC | Part B Supplier - Pharmacy | 3870901572 | Practice locations: Olney, MD |
National Provider Directory
National Provider DirectoryLocations
18111 Prince Philip Dr
Ste 100
Olney, MD 20832
Phone (301) 774-9812
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Olney, MD
- NPI 1396285599
-
- Community/Retail Pharmacy
- Olney, MD
- NPI 1396310736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1053404491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18111 PRINCE PHILIP DR",
"address_2": "SUITE 100",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321513",
"telephone_number": "301-774-9812",
"fax_number": "301-774-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 PRINCE PHILIP DR STE 100",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321503",
"telephone_number": "301-774-9812",
"fax_number": "301-774-9813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLNEY PROFESSIONAL PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A",
"authorized_official_last_name": "YI",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-774-9812",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P04031",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2037816",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001298000",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01888100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OLNEY PROFESSIONAL PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.