Poplar Grove Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05639 Issued in MD

Legal business name

POPLAR GROVE PHARMACY, INC

Doing business as

POPLAR GROVE PHARMACY INC.

Practice address

709 Poplar Grove St
Baltimore, MD 21216-4625

Phone

(410) 945-5555

Fax

(410) 945-5590

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Susan Nwoga

Title

Pharmacy Manager

Phone

(443) 955-3081

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• POPLAR GROVE PHARMACY INC. Doing business as

Locations

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1306117916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14908 MEANDERWOOD LN",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662217",
            "telephone_number": "240-646-4818",
            "fax_number": "410-945-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 POPLAR GROVE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164625",
            "telephone_number": "410-945-5555",
            "fax_number": "410-945-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR GROVE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "NWOGA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "443-955-3081"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115209200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POPLAR GROVE PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pharibe Somervell Pope
• Tasha Nicole Pope, LMSW
• Tiara Imani Pope
• Mihaela Popescu, PHARM.D.
• Howard Popkin
• Mandi Elizabeth Poplawski, PHARMD
• Karishma Popli, MD, MBE
• Michael Popoko, PA-C
• Adenike Abiodun Popoola
• Opeyemi Olubunmi Popoola, M.D.

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.