NPIMap

Organization Active NPI

Ultima, LLC

  • Non-Pharmacy Dispensing Site
  • Columbia, MD
National Provider Identifier
1235848052
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ULTIMA, LLC
Practice address
10320 Little Patuxent Pkwy Ste 200
Columbia, MD 21044-3344
Phone
(833) 693-0833
Fax
(410) 429-2968
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
K.C. GleatonNPI 1760104434
Title
Owner
Phone
(410) 999-0999

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
Non-Pharmacy Dispensing Site 332900000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

10320 Little Patuxent Pkwy Ste 200
Columbia, MD 21044-3344

Mailing address

2851 Jessup Rd Unit 932
Jessup, MD 20794-7545
Phone (833) 693-0833

Other names 1

  • UltimaMedical Doing business as

National Provider Directory

National Provider Directory

Locations

2851 Jessup Rd
Unit 932
Jessup, MD 20794

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1235848052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 JESSUP RD UNIT 932",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207947545",
            "telephone_number": "833-693-0833",
            "fax_number": "410-429-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 LITTLE PATUXENT PKWY STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443344",
            "telephone_number": "833-693-0833",
            "fax_number": "410-429-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "GLEATON",
        "authorized_official_first_name": "K.C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-999-0999"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UltimaMedical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.