Pax Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06919 Issued in MD

Legal business name

PAX PHARMACY LLC

Doing business as

Pax Pharmacy

Practice address

9900 Washington Blvd N Ste G
Laurel, MD 20723-1972

Phone

(301) 490-1170

Fax

(301) 490-1186

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Gladstone Attipoe

Title

Pharmacist

Phone

(301) 490-1170

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pax Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1225494974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 WASHINGTON BLVD N STE G",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231972",
            "telephone_number": "301-490-1170",
            "fax_number": "301-490-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 WASHINGTON BLVD N STE G",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231972",
            "telephone_number": "301-490-1170",
            "fax_number": "301-490-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "ATTIPOE",
        "authorized_official_first_name": "GLADSTONE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "301-490-1170"
    },
    "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": "P06919",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158118",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pax Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chanel Patrick
• Chevonne Paul, LMT, CMT, MMP
• Kimberlie Paul, RN
• Ky'Mera Pauling
• Siddhi Pawaskar, PT
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• Pearle Vision Center
• Ronald Charles Pearlman, PH.D., CCC-A, DABNM
• Yolanda Pearson, LPC
• Prudvi Reddy Pedaveeti

• Community/Retail Pharmacy in Laurel, MD
• Providers in Laurel, 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 May 12, 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.