Active NPI
Jarrettsville Pharmacy Inc
- Long Term Care Pharmacy
- Jarrettsville, MD
National Provider Identifier
1376229013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- JARRETTSVILLE PHARMACY INC
- Practice address
- 3714 Norrisville Rd
Jarrettsville, MD 21084-1434 - Phone
- (410) 557-7717
- Fax
- (410) 557-4336
- NPI assigned
- Jun 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark H Lapouraille
- Title
- President
- Phone
- (410) 557-7717
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
3714 Norrisville Rd
Jarrettsville, MD 21084-1434
Mailing address
PO Box 57
Jarrettsville, MD 21084-0057
Phone (410) 557-7717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142122100 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Jarrettsville Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Jarrettsville, MD
- NPI 1093113094
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Jarrettsville, MD
- NPI 1881995512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1376229013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "JARRETTSVILLE",
"state": "MD",
"postal_code": "210840057",
"telephone_number": "410-557-7717",
"fax_number": "410-557-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 NORRISVILLE RD",
"city": "JARRETTSVILLE",
"state": "MD",
"postal_code": "210841434",
"telephone_number": "410-557-7717",
"fax_number": "410-557-4336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JARRETTSVILLE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "LAPOURAILLE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-557-7717"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142122100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jarrettsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.