Pemberton Apothecary, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PEMBERTON APOTHECARY, LLC

Doing business as

Pemberton Apothecary

Practice address

1306 S Salisbury Blvd
Units 9&10
Salisbury, MD 21801-6841

Phone

(410) 677-0707

NPI assigned

Apr 5, 2011

Last updated

Apr 5, 2011By 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

Craig Allen Schury, RPH

Title

President

Phone

(410) 677-0707

Specialties & licenses 1

Addresses

Other names 1

• Pemberton Apothecary Doing business as

Locations

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1093004533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 PEMBERTON DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012529",
            "telephone_number": "410-677-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S SALISBURY BLVD",
            "address_2": "UNITS 9&10",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016841",
            "telephone_number": "410-677-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBERTON APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "SCHURY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-677-0707",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pemberton Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.