Manchester Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05569 Issued in MD

Legal business name

MANCHESTER DRUGS INC

Doing business as

Carroll Drugs of Manchester

Practice address

3128 Westminster St
Manchester, MD 21102-1893

Phone

(410) 374-1414

Fax

(410) 374-1443

NPI assigned

Jul 29, 2011

Last updated

Mar 5, 2013By 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

Thomas Bolton

Title

President/Pharmacist

Phone

(443) 929-2484

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Carroll Drugs of Manchester Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Manchester Drugs Inc

  dba Taneytown Pharmacy

  • Pharmacy
  • Taneytown, MD
  • NPI 1619913233

  O20130225000242

  Same enrollment

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.

• Lacee Owings, RN

  • Registered Nurse
  • Manchester, MD
  • NPI 1669058814
  NPD (past)

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1194003764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211020007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 WESTMINSTER ST",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021893",
            "telephone_number": "410-374-1414",
            "fax_number": "410-374-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "443-929-2484"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05569",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2135970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll Drugs of Manchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Manchester, MD
• Providers in Manchester, 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 Mar 5, 2013; 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.