Deck LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P02280 Issued in MD

Legal business name

DECK LLC

Doing business as

Medicine Shoppe Pharmacy

Practice address

204 S Talbot
St Michaels, MD 21663

Phone

(410) 745-6700

Fax

(410) 745-4016

NPI assigned

Nov 8, 2006

Last updated

Sep 14, 2012By 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

David Hopkins, RPHNPI 1770508806

Title

Owner

Phone

(410) 745-6700

Specialties & licenses 2

Addresses

Other names 1

• MEDICINE SHOPPE PHARMACY 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, and the practitioner matching its NPPES authorized official.

• David Wayne Hopkins Jr., R.PH.

  • Pharmacist
  • St. Michael's, MD
  • NPI 1770508806
  Authorized official Same address or phone

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1104996099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S TALBOT",
            "address_2": "PO BOX 567",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "21663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S TALBOT",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "21663",
            "telephone_number": "410-745-6700",
            "fax_number": "410-745-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-745-6700",
        "authorized_official_credential": "RPH"
    },
    "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": "P02280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Choptank Community Health System Inc (Bay Hundred Health Center)
• Choptank Community Health System, Inc. (St. Michael's Elementary School SBHC)
• Choptank Community Health System, Inc. (St. Michael's Middle/High School SBHC)
• Kelly M Cooper
• Deborah C. Gootee CRNP-PMH, LLC
• Gregory Dukes, CRNP
• Carrie Jean Ettinger, CNS
• Stephanie Rejeana Faulkner
• Stacy Ann Fox, PT
• Susan Marie Hagelman, CRNP PMHNP-BC

• Community/Retail Pharmacy in St. Michael's, MD
• Providers in St. Michael's, 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 Sep 14, 2012; 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.