NPIMap

Organization Active NPI

Marybeth Sniadowski Cole

  • Community/Retail Pharmacy
  • Elkton, MD
National Provider Identifier
1215034061
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06009 Issued in MD
Legal business name
MARYBETH SNIADOWSKI COLE
Doing business as
Lyons Pharmacy
Practice address
107 E Main St
Elkton, MD 21921-5906
Phone
(410) 398-2820
Fax
(410) 398-5173
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Marybeth Cole, RPHNPI 1619142510
Title
Owner
Phone
(410) 398-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P06009 MD Primary

Addresses

Primary practice location

107 E Main St
Elkton, MD 21921-5906

Mailing address

107 E Main St
Elkton, MD 21921-5906
Phone (410) 398-2820

Other identifiers 3

IdentifierTypeStateIssuer
442550200MedicaidMD
2141639OtherPK
442551100MedicaidMD

Other names 1

  • Lyons Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

107 E Main St
Elkton, MD 21921
Phone (410) 398-2820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1215034061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215906",
            "telephone_number": "410-398-2820",
            "fax_number": "410-398-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215906",
            "telephone_number": "410-398-2820",
            "fax_number": "410-398-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYBETH SNIADOWSKI COLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-398-2820",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442550200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141639",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442551100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyons Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.