Civic Health Services 3 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07082 Issued in MD

Legal business name

CIVIC HEALTH SERVICES 3 LLC

Practice address

909 Washington St
Cambridge, MD 21613-2627

Phone

(410) 228-0900

Fax

(410) 228-0700

NPI assigned

Feb 5, 2016

Organization subpart

No

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

Authorized official

Name

Waheed AzizNPI 1184908337

Title

Pharmacist

Phone

(410) 430-8500

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• SHORE DISCOUNT PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Waheed Aziz, RPH, M.S

  • Pharmacist
  • Salisbury, MD
  • NPI 1184908337
  NPD Authorized official

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1063870020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 CIVIC AVE STE 20",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045231",
            "telephone_number": "410-749-5900",
            "fax_number": "410-749-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WASHINGTON ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132627",
            "telephone_number": "410-228-0900",
            "fax_number": "410-228-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVIC HEALTH SERVICES 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "WAHEED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-430-8500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07082",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHORE DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.