NPIMap

Organization Active NPI

Ab & J RX Corporation

Doing business as Clear Spring Pharmacy

  • Pharmacy
  • Clear Spring, MD
National Provider Identifier
1316282197
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P05885 Issued in MD
Legal business name
AB & J RX CORPORATION
Doing business as
Clear Spring Pharmacy
Practice address
34 Mulberry St
Clear Spring, MD 21722-1070
Phone
(301) 842-2774
Fax
(301) 842-2784
NPI assigned
Dec 4, 2012
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Nelson KlineNPI 1679560916
Title
Owner
Phone
(301) 331-0867

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P05885 MD Primary

Addresses

Primary practice location

34 Mulberry St
Clear Spring, MD 21722-1070

Mailing address

PO Box 190
Clear Spring Pharmacy
Clear Spring, MD 21722-0190
Phone (301) 842-2774

Other identifiers 2

IdentifierTypeStateIssuer
599315600MedicaidMD
2138490OtherPK

Other names 1

  • Clear Spring Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130718000092 MD DME Supplier - Pharmacy 5991946881 Practice locations: Clear Spring, MD
O20130821000732 MD Part B Supplier - Mass Immunization (Roster Biller Only) 5991946881 Practice locations: Clear Spring, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Ab & J RX Corporation34 Mulberry St, Clear Spring, MD 21722-1070(301) 842-2774 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Apr 23, 2013

National Provider Directory

National Provider Directory
Tax ID family
Ab J RX Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1316282197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "address_2": "CLEAR SPRING PHARMACY",
            "city": "CLEAR SPRING",
            "state": "MD",
            "postal_code": "217220190",
            "telephone_number": "301-842-2774",
            "fax_number": "301-842-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MULBERRY ST",
            "city": "CLEAR SPRING",
            "state": "MD",
            "postal_code": "217221070",
            "telephone_number": "301-842-2774",
            "fax_number": "301-842-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB & J RX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-331-0867"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P05885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599315600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Spring Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clear Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.