Quality of Life Phcy and Health Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PW0269 Issued in MD

Legal business name

QUALITY OF LIFE PHCY AND HEALTH INC

Practice address

8900 Edgeworth Dr Ste G
Capitol Heights, MD 20743-3744

Phone

(301) 324-3715

Fax

(301) 324-3713

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Terri Peters, BSCPHARM,R,PH.

Title

President and Owner

Phone

(301) 324-3715

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• QUALITY OF LIFE PHARMACY & HEALTH INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roderick Gradie Peters, R.PH

  • Pharmacist
  • Baltimore, MD
  • NPI 1124254909
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1295746832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 EDGEWORTH DR STE G",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433744",
            "telephone_number": "301-324-3715",
            "fax_number": "301-324-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 EDGEWORTH DR STE G",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433744",
            "telephone_number": "301-324-3715",
            "fax_number": "301-324-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE PHCY AND HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "301-324-3715",
        "authorized_official_credential": "BSCPHARM,R,PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MD",
            "license": "PW0269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2038180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY OF LIFE PHARMACY & HEALTH INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anissa Robin Ricks
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• Compounding Pharmacy in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Compounding Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.