Organization Active NPI

Your Asthma Care Pharmacy, Inc.

  • Pharmacy
  • Frederick, MD
National Provider Identifier
1073946349
Registry record updated Oct 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PW0404 Issued in MD
Legal business name
YOUR ASTHMA CARE PHARMACY, INC.
Practice address
5112 Pegasus CT
Suite X-B
Frederick, MD 21704-8303
Phone
(240) 575-9097
Fax
(240) 629-8769
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2013

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

Authorized official

Name
Marilou Marie Fritz, R.N.
Title
President / Ceo
Phone
(240) 575-9097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PW0404 MD Primary

Addresses

Primary practice location

5112 Pegasus CT
Suite X-B
Frederick, MD 21704-8303

Mailing address

5112 Pegasus CT
Suite X-B
Frederick, MD 21704-8303
Phone (240) 575-9097

Other identifiers 1

IdentifierTypeStateIssuer
PW0404OtherMDMD BOARD OF PHARMACY

National Provider Directory

National Provider Directory

Locations

5112 Pegasus Ct
Ste Xb
Frederick, MD 21704
Phone (240) 575-9097

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382745600000",
    "number": "1073946349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 PEGASUS CT",
            "address_2": "SUITE X-B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048303",
            "telephone_number": "240-575-9097",
            "fax_number": "240-629-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 PEGASUS CT",
            "address_2": "SUITE X-B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048303",
            "telephone_number": "240-575-9097",
            "fax_number": "240-629-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR ASTHMA CARE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-10-26",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "240-575-9097",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "PW0404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BOARD OF PHARMACY",
            "identifier": "PW0404",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2013; 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.