Centre Park Pharmacy,Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06971 Issued in MD

Legal business name

CENTRE PARK PHARMACY,INC

Doing business as

centre park pharmacy

Practice address

8885 Centre Park Drive
Suite 2C
Columbia, MD 21045

Phone

(410) 740-7000

Fax

(410) 740-1980

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Norman Nicholson, RPHNPI 1477980993

Title

Ceo

Phone

(443) 812-1990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• centre park pharmacy Doing business as

Locations

Practitioners 1

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

• Norman Nicholson

  • Pharmacist
  • Columbia, MD
  • NPI 1477980993
  NPD (past) Authorized official

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1215302831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10947 SWANSFIELD RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442727",
            "telephone_number": "443-812-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 CENTRE PARK DRIVE",
            "address_2": "SUITE 2C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-740-7000",
            "fax_number": "410-740-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE PARK PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-812-1990",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT NUMBER",
            "identifier": "P06971",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "centre park pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Maryland Oral and Facial Surgical Arts of Columbia, LLC
• Central Maryland Oral and Maxillofacial Surgery P.a.
• Central Maryland Oral and Maxillofacial Surgery, P. a.
• Central Maryland Urology Associates P a
• Centre Park Counseling Center LLC
• Centrepointe Counseling, Inc.
• Century Mental Health, Inc.
• Colleen Ceremuga, MD
• David Tomas Cernikovsky, PSY.D.
• Kathryn McCrea Cervi, M.S., C.R.N.P.

• Community/Retail Pharmacy in Columbia, MD
• Providers in Columbia, 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 Dec 8, 2015; 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.