Jarrettsville Pharmacy1St LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P00355 Issued in MD

Legal business name

JARRETTSVILLE PHARMACY1ST LLC

Doing business as

Jarrettsville Pharmacy

Practice address

3714 Norrisville Rd
Jarrettsville, MD 21084-1419

Phone

(410) 557-7717

Fax

(410) 557-4336

NPI assigned

Nov 1, 2006

Last updated

Apr 22, 2026By 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

Seth Anato, PHARMD

Title

Head of Pharmacy Services

Phone

(314) 517-9035

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JARRETTSVILLE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1215015722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210840057",
            "telephone_number": "410-557-7717",
            "fax_number": "410-557-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 NORRISVILLE RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-557-7717",
            "fax_number": "410-557-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRETTSVILLE PHARMACY1ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "ANATO",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "HEAD OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "314-517-9035",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P00355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142122100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JARRETTSVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Jarrettsville, MD
• Providers in Jarrettsville, 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 Apr 22, 2026; 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.