Organization Active NPI

Alco Pharmaceuticals, Inc

Doing business as Alco Pharmacy

  • Long Term Care Pharmacy
  • Owings Mills, MD
National Provider Identifier
1205834579
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PW0249 Issued in MD
Legal business name
ALCO PHARMACEUTICALS, INC
Doing business as
Alco Pharmacy
Practice address
11435 Cronhill Dr Ste a
Owings Mills, MD 21117-2220
Phone
(443) 394-7300
Fax
(443) 394-6770
NPI assigned
Jul 12, 2005
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Barbara Denrich
Title
Pres/Ceo
Phone
(443) 394-7300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X PW0249 MD Primary

Addresses

Primary practice location

11435 Cronhill Dr Ste a
Owings Mills, MD 21117-2220

Mailing address

11435 Cronhill Dr Ste a
Owings Mills, MD 21117-2220
Phone (443) 394-7300

Other identifiers 6

IdentifierTypeStateIssuer
008502471MedicaidVA
411267900MedicaidMD
000811107MedicaidDE
026839700MedicaidDC
01647800MedicaidPA
2036169OtherPK

Other names 1

  • ALCO PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930091611 MD DME Supplier - Pharmacy 3274654744 Practice locations: Owings Mills, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alco Pharmacy11435 Cronhill Dr, Owings Mills, MD 21117-2236(443) 394-7300 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Enteral Nutrients|Enteral Equipment and/or Supplies Accepts assignmentParticipating since Feb 22, 1999

National Provider Directory

National Provider Directory

Locations

10045 Red Run Blvd
Ste 180
Owings Mills, MD 21117
Phone (443) 394-7300

11435 Cronhill Dr
Ste A
Owings Mills, MD 21117
Phone (443) 394-7300

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1205834579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11435 CRONHILL DR STE A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172220",
            "telephone_number": "443-394-7300",
            "fax_number": "443-394-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 CRONHILL DR STE A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172220",
            "telephone_number": "443-394-7300",
            "fax_number": "443-394-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCO PHARMACEUTICALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "DENRICH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "443-394-7300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008502471",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411267900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000811107",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026839700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01647800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2036169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.