Organization Active NPI

Paas LLC

  • Pharmacy
  • Glen Burnie, MD
National Provider Identifier
1346898244
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PAAS LLC
Doing business as
AllsWell Pharmacy
Practice address
325 Hospital Dr Ste 203
Glen Burnie, MD 21061-5807
Phone
(410) 553-4156
Fax
(410) 595-6960
NPI assigned
Sep 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Pankaj K Shrivastava, RPHNPI 1578163432
Title
Pharmacy Manager/Owner
Phone
(646) 623-1247

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 Primary

Addresses

Primary practice location

325 Hospital Dr Ste 203
Glen Burnie, MD 21061-5807

Mailing address

2805 Leaf Shade Dr
Ellicott City, MD 21042-2522
Phone (646) 623-1247

Other names 1

  • AllsWell Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210119001703 MD Part B Supplier - Pharmacy 3476966110 Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Locations

8 Mountain Rd
#B
Glen Burnie, MD 21060
Phone (410) 553-4156

8 Mountain Rd
Glen Burnie, MD 21060

88 MTN Rd
Glen Burnie, MD 21060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1346898244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 LEAF SHADE DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422522",
            "telephone_number": "646-623-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 203",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615807",
            "telephone_number": "410-553-4156",
            "fax_number": "410-595-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "SHRIVASTAVA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "646-623-1247",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllsWell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AllsWell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.