NPIMap

Organization Active NPI

University of Maryland Medical Center, LLC

Doing business as UMMC Pharmacy at Baltimore Washington

  • Pharmacy
  • Glen Burnie, MD
National Provider Identifier
1194483735
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
Doing business as
UMMC Pharmacy at Baltimore Washington
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
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

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 1

  • UMMC Pharmacy at Baltimore Washington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Univ of MD Med Ctr LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

900 Elkridge Landing Rd
Rm 228
Linthicum Heights, MD 21090

Ownership & related parties

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 IncEaston, MD, CCN 210037 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2006
University of Maryland Baltimore Washington Medical CenterGlen Burnie, MD, CCN 210043 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
University of Maryland Shore Medical Center at ChestertownChestertown, MD, CCN 210030 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
University of Maryland Medical Center Midtown CampusBaltimore, MD, CCN 210038 Hospital 5% Or Greater Direct Ownership Interest Feb 1, 2014
University of Maryland Rehabilitation and Orthopaedic InstituteBaltimore, 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 CenterUpper Marlboro, MD, CCN 210003 Hospital 5% Or Greater Direct Ownership Interest Sep 1, 2017
Civista Medical Center IncLa Plata, MD, CCN 210035 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Other		 Jun 27, 2011
Jun 27, 2011
Mt Washington Physicians GroupBaltimore, MD, CCN 213300 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 2006
University of Maryland St Joseph Medical CenterTowson, MD, CCN 210063 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Other		 Nov 1, 2012
Nov 1, 2012
Rehabilitation Hospital of BowieBowie, MD, CCN 213030 Hospital 5% Or Greater Indirect Ownership Interest (50%) Jul 1, 2023
University of Maryland Medical CenterBaltimore, MD, CCN 210002 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 3, 2014

Owned or controlled facilities with NPI records 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1194483735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HOSPITAL DR STE 8",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615801",
            "telephone_number": "667-888-2999",
            "fax_number": "410-787-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HOSPITAL DR STE 8",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615801",
            "telephone_number": "667-888-2999",
            "fax_number": "410-787-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "SPRINKEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-328-1501"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMMC Pharmacy at Baltimore Washington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UMMC Pharmacy at Baltimore Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.