Sri Ganesh Pharmacy of Cumberland Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

P05718 Issued in MD

Legal business name

SRI GANESH PHARMACY OF CUMBERLAND INC

Doing business as

potomac valley pharmacy of cumberland

Practice address

501 N Centre St
Cumberland, MD 21502-2102

Phone

(301) 722-2342

Fax

(301) 722-3611

NPI assigned

May 16, 2012

Last updated

Mar 16, 2015By 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

Tejas Sheth

Title

Vice President

Phone

(301) 722-2342

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• potomac valley pharmacy of cumberland Doing business as

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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.

• Sheshu Mettu, RPH

  • Pharmacist
  • Severna Park, MD
  • NPI 1770890923
  NPD
• Alicia Renee Maffley, R.PH.

  • Pharmacist
  • Cumberland, MD
  • NPI 1538372768
  NPD (past)
• Daniel Norman Iseminger, RPH

  • Pharmacist
  • Hyndman, PA
  • NPI 1104372762
  NPD (past)
• Ajay Patel, PHARMD

  • Pharmacist
  • Hyndman, PA
  • NPI 1922699347
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1285994814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CENTRE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022102",
            "telephone_number": "301-722-2342",
            "fax_number": "301-722-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CENTRE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022102",
            "telephone_number": "301-722-2342",
            "fax_number": "301-722-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI GANESH PHARMACY OF CUMBERLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-722-2342"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P05718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "potomac valley pharmacy of cumberland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boyd Edwin Sprenkle, MD
• Shannon Sprenkle, CRNP
• Rachel Marie Sproat, RDN
• Meghan Christine Squires, CF - SLP
• Patricia J Squires, RN-BC
• Amy M Stafford-Schroyer, RN, MSN, PMHNP-BC
• Staggers Heare & Whiteman PA (Progressive Physical Therapy & Rehabilitation Center)
• Kayla Leigh Staggs, ADT
• Sarah Stahl, LCPC, CAC-AD
• Theresa Stahl, RD, LDN

• Pharmacy in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.