Northside Pharmacy Long Term Care Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NORTHSIDE PHARMACY LONG TERM CARE INC

Practice address

707 North Bridge Street
Suite C
Elkton, MD 21921

Phone

(443) 207-8048

Fax

(443) 207-8396

NPI assigned

Dec 9, 2015

Last updated

Dec 9, 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

David H AyresNPI 1366455255

Title

President

Phone

(443) 207-8048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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.

• David Howard Ayres, PD

  • Pharmacist
  • Elkton, MD
  • NPI 1366455255
  NPD Authorized official
• Karen Slagle, PHARMD

  • Pharmacist
  • Bel Air, MD
  • NPI 1235548967
  NPD

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1356716864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 NORTH BRIDGE STREET",
            "address_2": "SUITE C",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "443-207-8048",
            "fax_number": "443-207-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NORTH BRIDGE STREET",
            "address_2": "SUITE C",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "443-207-8048",
            "fax_number": "443-207-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PHARMACY LONG TERM CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-207-8048"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North American Partners in Anesthesia Maryland LLC
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• Novus Pain Management - Maryland, LLC
• Julie Nowaskey
• Stanley Nuganha
• Nutrihealth, LLC
• Taylor Elise Colleen O'Bryan, DOULA

• Long Term Care Pharmacy in Elkton, MD
• Providers in Elkton, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.