NPIMap

Organization Active NPI

St Marys Pharmacy LLC

  • Health Service Clinic/Center
  • Leonardtown, MD
National Provider Identifier
1386036606
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
P05680M Issued in MD
Legal business name
ST MARYS PHARMACY LLC
Practice address
25482 Point Lookout Rd
Building 2 Unit 203C
Leonardtown, MD 20650-3895
Phone
(301) 475-2024
Fax
(301) 475-2026
NPI assigned
Feb 24, 2015
Last updated
Feb 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Kris Akula
Title
Pharmacist/Owner
Phone
(301) 475-2024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X P05680M MD Primary

Addresses

Primary practice location

25482 Point Lookout Rd
Building 2 Unit 203C
Leonardtown, MD 20650-3895

Mailing address

25482 Point Lookout Rd
Building 2 Unit 203C
Leonardtown, MD 20650-3895
Phone (301) 475-2024

National Provider Directory

National Provider Directory
Tax ID family
St Marys Pharmacy LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1386036606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25482 POINT LOOKOUT RD",
            "address_2": "BUILDING 2 UNIT 203C",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503895",
            "telephone_number": "301-475-2024",
            "fax_number": "301-475-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25482 POINT LOOKOUT RD",
            "address_2": "BUILDING 2 UNIT 203C",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503895",
            "telephone_number": "301-475-2024",
            "fax_number": "301-475-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "AKULA",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "301-475-2024"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "P05680M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.