Organization Active NPI

Columbia Pharmacy LLC

Doing business as Columbia Pharmacy

  • Community/Retail Pharmacy
  • Columbia, MD
National Provider Identifier
1073793402
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04684 Issued in MD
Legal business name
COLUMBIA PHARMACY LLC
Doing business as
Columbia Pharmacy
Practice address
10700 Charter Dr
Columbia, MD 21044-3629
Phone
(410) 715-4777
Fax
(410) 715-4778
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Robin Katcoff, PHRMD
Title
Owner
Phone
(410) 902-0039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P04684 MD Primary

Addresses

Primary practice location

10700 Charter Dr
Columbia, MD 21044-3629

Mailing address

PO Box 1750
Mechanicsville, VA 23116-0005
Phone (410) 715-4777

Other identifiers 1

IdentifierTypeStateIssuer
2133697OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • COLUMBIA PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1073793402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231160005",
            "telephone_number": "410-715-4777",
            "fax_number": "410-715-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443629",
            "telephone_number": "410-715-4777",
            "fax_number": "410-715-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "KATCOFF",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-902-0039",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2133697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.