NPIMap

University of Maryland Medical Center, LLC

Organization Active NPI Pharmacy · Glen Burnie, MD

NPI 1194483735 · NPPES record last updated Jan 31, 2024

Key facts

NPI
1194483735
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
Legal business name
UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
Practice address
255 Hospital Dr Ste 8
Glen Burnie, MD 21061-5801
Phone
(667) 888-2999
Fax
(410) 787-4104
NPI assigned
Dec 1, 2021
Organization subpart
No

Authorized official

Name
George Sprinkel
Title
Cfo
Phone
(410) 328-1501

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 16

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shore Health System Inc
Easton, MD · CCN 210037		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2006
University of Maryland Baltimore Washington Medical Center
Glen Burnie, MD · CCN 210043		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
University of Maryland Shore Medical Center at Chestertown
Chestertown, MD · CCN 210030		 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
University of Maryland Medical Center Midtown Campus
Baltimore, MD · CCN 210038		 Hospital 5% Or Greater Direct Ownership Interest Feb 1, 2014
University of Maryland Rehabilitation and Orthopaedic Institute
Baltimore, MD · CCN 210058		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 9, 2008
Jan 9, 2008
University of Maryland Capital Region Medical Center
Upper Marlboro, MD · CCN 210003		 Hospital 5% Or Greater Direct Ownership Interest Sep 1, 2017
Civista Medical Center Inc
La Plata, MD · CCN 210035		 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Other		 Jun 27, 2011
Jun 27, 2011
Mt Washington Physicians Group
Baltimore, MD · CCN 213300		 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 2006
University of Maryland St Joseph Medical Center
Towson, MD · CCN 210063		 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Other		 Nov 1, 2012
Nov 1, 2012
Rehabilitation Hospital of Bowie
Bowie, MD · CCN 213030		 Hospital 5% Or Greater Indirect Ownership Interest (50%) Jul 1, 2023
University of Maryland Medical Center
Baltimore, MD · CCN 210002		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 3, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220427001624 MD Part B Supplier - Pharmacy 7113914771 Practice locations: Glen Burnie, MD
O20240215000168 MD Part B Supplier - Pharmacy 7113379256 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Glen Burnie, MD

National Provider Directory

Tax ID family
Univ of MD Med Ctr LLC (17 organizations share this tax ID)

Locations

255 Hospital Dr
Ste 8
Glen Burnie, MD 21061
Phone (667) 888-2999

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Yes

Addresses

Primary practice location

255 Hospital Dr Ste 8
Glen Burnie, MD 21061-5801

Mailing address

255 Hospital Dr Ste 8
Glen Burnie, MD 21061-5801
Phone (667) 888-2999

Other names

  • UMMC Pharmacy at Baltimore Washington Doing business as

Other providers in Glen Burnie, MD

All providers in Glen Burnie, MD · Pharmacy in Maryland

Sources for this page

Verify at the official NPI Registry.