12Pharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

12PHARMA LLC

Practice address

19209 Chennault Way
Suit N-P
Rockville, MD 20852-2087

Phone

(888) 404-6468

Fax

(888) 404-6468

NPI assigned

Jul 1, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer Maugle, PHARMD

Title

Pic

Phone

(301) 233-4563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1093604373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19209 CHENNAULT WAY",
            "address_2": "SUIT N-P",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522087",
            "telephone_number": "888-404-6468",
            "fax_number": "888-404-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19209 CHENNAULT WAY",
            "address_2": "SUIT N-P",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522087",
            "telephone_number": "888-404-6468",
            "fax_number": "888-404-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "MAUGLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "301-233-4563",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 20-20 Vision
• 20/20 Genesystems, Inc.
• 2020 Optical
• 360 Surgical Services LLC
• 9701 Medical Center Drive Operations LLC

• Community/Retail Pharmacy in Rockville, MD
• Providers in Rockville, 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 Jul 1, 2025; 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.