Ab & J RX Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06334 Issued in MD

Legal business name

AB & J RX CORPORATION

Doing business as

Williamsport Pharmacy

Practice address

100 E Potomac St
Williamsport, MD 21795-1108

Phone

(301) 223-4101

Fax

(301) 223-4102

NPI assigned

Feb 11, 2014

Last updated

Aug 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Eugene KlineNPI 1679560916

Title

Ceo

Phone

(301) 223-4101

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Williamsport Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ab & J RX Corporation

  dba Clear Spring Pharmacy

  • Pharmacy
  • Clear Spring, MD
  • NPI 1316282197

  5991946881

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Ab J RX Corporation2 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.

• Ab & J RX Corporation

  dba Clear Spring Pharmacy

  • Pharmacy
  • Clear Spring, MD
  • NPI 1316282197
  NPD tax ID

Locations

Practitioners 3

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.

• Nelson Eugene Kline, RPH

  • Pharmacist
  • Williamsport, MD
  • NPI 1679560916
  NPD Authorized official
• Brenda Eisenman, RPH

  • Pharmacist
  • Williamsport, MD
  • NPI 1013523372
  NPD
• Amanda Kline, PHARMD

  • Pharmacist
  • Williamsport, MD
  • NPI 1134746316
  NPD

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1073937074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E POTOMAC ST",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217951108",
            "telephone_number": "301-223-4101",
            "fax_number": "301-223-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E POTOMAC ST",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217951108",
            "telephone_number": "301-223-4101",
            "fax_number": "301-223-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB & J RX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-223-4101",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "P06334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422497300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsport Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamsport Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antietam Health Services (Home Care Pharmacy-Williamsport)
• Lucille Bantugan
• Samantha Biser, CRNP, PMHNP-BC
• Hillary Theresa Blank, CRNP
• Jonathan Boyer, PHARMD

• Community/Retail Pharmacy in Williamsport, MD
• Providers in Williamsport, 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 Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.