Smithsburg Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07138 Issued in MD

Legal business name

SMITHSBURG PHARMACY LLC

Practice address

22026 Jefferson Blvd
Smithsburg, MD 21783-2057

Phone

(301) 824-1111

Fax

(301) 824-1113

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Mir AliNPI 1669792214

Title

Pharmacist

Phone

(301) 824-1111

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• SMITHSBURG PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 3

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

• Mir Karamat Ali, R.PH

  • Pharmacist
  • Damascus, MD
  • NPI 1669792214
  NPD Authorized official
• Dawn Lovejoy, PHARMD

  • Pharmacist
  • Smithsburg, MD
  • NPI 1437644671
  NPD (past)
• Jason T O'Neal, PHARMD

  • Pharmacist
  • Smithsburg, MD
  • NPI 1386188951
  NPD (past)

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1114386174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22026 JEFFERSON BLVD",
            "city": "SMITHSBURG",
            "state": "MD",
            "postal_code": "217832057",
            "telephone_number": "301-824-1111",
            "fax_number": "301-824-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22026 JEFFERSON BLVD",
            "city": "SMITHSBURG",
            "state": "MD",
            "postal_code": "217832057",
            "telephone_number": "301-824-1111",
            "fax_number": "301-824-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHSBURG PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MIR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "301-824-1111"
    },
    "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": "P07138",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159069",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITHSBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMITHSBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew E Paper, D.D.S.
• Bryan Jeffrey Peralta
• Linda Potts, ND,DCRC,RN,MBA,MBE
• Gary Schwartz
• Smithsburg Emergency Medical Services Inc
• Qianyiren Song
• Stephen S. Lippman, M.D., PH.D., P.a.
• Kara Tarr, PHARMD
• Gabrielle Taylor
• Thrive & Bloom Doula Care LLC

• All providers in Smithsburg, MD
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.