NPIMap

Organization Active NPI

Frontier Health Services LLC

Doing business as CareMax Pharmacy

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1235599895
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07084 Issued in MD
Legal business name
FRONTIER HEALTH SERVICES LLC
Doing business as
CareMax Pharmacy
Practice address
5411 Old Frederick Rd Ste 12
Baltimore, MD 21229-2126
Phone
(443) 251-2718
Fax
(443) 251-2792
NPI assigned
Feb 25, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Uche EtunnuhNPI 1801205083
Title
Pharm.D
Phone
(443) 251-2718

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07084 MD Primary

Addresses

Primary practice location

5411 Old Frederick Rd Ste 12
Baltimore, MD 21229-2126

Mailing address

5411 Old Frederick Rd
Suite 12
Baltimore, MD 21229-2195
Phone (443) 251-2718

Other identifiers 1

IdentifierTypeStateIssuer
2158370OtherPK

Other names 1

  • CareMax Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caremax Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5411 Old Frederick Rd
Ste 12
Baltimore, MD 21229
Phone (443) 251-2718

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1235599895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD",
            "address_2": "SUITE 12",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292195",
            "telephone_number": "443-251-2718",
            "fax_number": "443-251-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD STE 12",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292126",
            "telephone_number": "443-251-2718",
            "fax_number": "443-251-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "ETUNNUH",
        "authorized_official_first_name": "UCHE",
        "authorized_official_title_or_position": "PHARM.D",
        "authorized_official_telephone_number": "443-251-2718"
    },
    "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": "P07084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareMax Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.