Oc Pharma, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

PENDING Issued in MD

Legal business name

OC PHARMA, INC

Doing business as

Coastal Drug Center Health Mart

Practice address

10231 Old Ocean City Blvd
Suite 103, James G. Barrett Medical BLDG
Berlin, MD 21811

Phone

(410) 629-0071

Fax

(410) 629-0081

NPI assigned

Mar 15, 2007

Last updated

Nov 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne B Marcalus, RPH

Title

Secretary, Pharmacist

Phone

(410) 352-3664

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Drug Center Health Mart Doing business as

Locations

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.

• Suzanne Bristow-Marcalus, RPH

  • Pharmacist
  • Berlin, MD
  • NPI 1790905271
  NPD (past)
• Steven Joseph Marcalus, RPH., MBA

  • Pharmacist
  • Berlin, MD
  • NPI 1467664987
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1245364165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12312 SAVANNA CT",
            "city": "BISHOPVILLE",
            "state": "MD",
            "postal_code": "218131686",
            "telephone_number": "410-352-3664",
            "fax_number": "410-352-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 OLD OCEAN CITY BLVD",
            "address_2": "SUITE 103, JAMES G. BARRETT MEDICAL BLDG",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-629-0071",
            "fax_number": "410-629-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC PHARMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "MARCALUS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SECRETARY, PHARMACIST",
        "authorized_official_telephone_number": "410-352-3664",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2133483",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Drug Center Health Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Berlin, MD
• Providers in Berlin, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.