Northern Phcy at Overlea LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P04147 Issued in MD

Legal business name

NORTHERN PHCY AT OVERLEA LLC

Practice address

7618 Belair Rd
Baltimore, MD 21236-4088

Phone

(410) 661-1655

Fax

(410) 661-1822

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Pepper Mintz

Title

President and Coo

Phone

(410) 254-2055

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• NORTHERN PHARMACY AT OVERLEA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yoo Jin Lee

  • Pharmacist
  • Baltimore, MD
  • NPI 1477144483
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1093736043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "410-661-1655",
            "fax_number": "410-661-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "410-661-1655",
            "fax_number": "410-661-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PHCY AT OVERLEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "PEPPER",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "410-254-2055"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037909",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002883500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN PHARMACY AT OVERLEA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern Pharmacy and Medical Equipment
• Northern Pharmacy and Medical Equipment, Inc
• Northern Pharmacy and Medical Equipment, Inc
• Northern Pharmacy and Medical Equipment, Inc
• Northern Pharmacy and Medical Equipment, Inc
• Frances Josephine Northington, M.D.
• William E Northington III, MD
• Northpoint Dialysis Clinic LLC
• Eve Husbands Northrup, PHD
• Northwest Baltimore Youth Services, Inc.

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, 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 26, 2016; 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.