NPIMap

Organization Active NPI

Med.One Pharmacy, Inc.

Doing business as Woodbine Pharmacy

  • Community/Retail Pharmacy
  • Berlin, MD
National Provider Identifier
1194003087
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05542 Issued in MD
Legal business name
MED.ONE PHARMACY, INC.
Doing business as
Woodbine Pharmacy
Practice address
10119 Old Ocean City Blvd
Berlin, MD 21811-1143
Phone
(410) 489-2708
Fax
(410) 489-2762
NPI assigned
Jul 27, 2011
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Qaisar Farooq
Title
President
Phone
(773) 983-4923

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P05542 MD Primary

Addresses

Primary practice location

10119 Old Ocean City Blvd
Berlin, MD 21811-1143

Mailing address

10119 Old Ocean City Blvd
Berlin, MD 21811-1143
Phone (410) 489-2708

Other identifiers 1

IdentifierTypeStateIssuer
332513000MedicaidMD

Other names 1

  • WOODBINE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161121001498 MD Part B Supplier - Mass Immunization (Roster Biller Only) 0042599722 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boonsboro, MD; Brunswick, MD; Emmitsburg, MD; Middletown, MD; Mount Airy, MD; New Market, MD; Thurmont, MD; Woodbine, MD

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Med One Pharmacy- Brunswick8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10119 Old Ocean City Blvd
Berlin, MD 21811
Phone (410) 489-2708

710 Lisbon Center Dr
Ste D
Woodbine, MD 21797
Phone (410) 489-2708

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1194003087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 OLD OCEAN CITY BLVD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111143",
            "telephone_number": "410-489-2708",
            "fax_number": "410-489-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 OLD OCEAN CITY BLVD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111143",
            "telephone_number": "410-489-2708",
            "fax_number": "410-489-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED.ONE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "QAISAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-983-4923"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332513000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODBINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.