Active NPI
Fairland Market Inc.
Doing business as McKay's Pharmacy
- Community/Retail Pharmacy
- Leonardtown, MD
National Provider Identifier
1396879862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P01755
- Legal business name
- FAIRLAND MARKET INC.
- Doing business as
- McKay's Pharmacy
- Practice address
- 40845 Merchants LN
Leonardtown, MD 20650-3767 - Phone
- (301) 997-1849
- Fax
- (301) 997-1284
- NPI assigned
- Mar 15, 2007
- Last updated
- May 11, 2009
- 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
- Cherry Ellen Price
- Title
- Corporate Secretary
- Phone
- (301) 373-5848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P01755 | MD | Primary |
Addresses
Primary practice location
40845 Merchants LN
Leonardtown, MD 20650-3767
Mailing address
PO Box 98
Hollywood, MD 20636-0098
Phone (301) 373-5848
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01755 | Other | MD | MD PHARMACY PERMIT |
| 2118897 | Other | MD | NCPDP |
| 4017153 | Medicaid | MD |
Other names 1
- McKay's Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Fairland Market Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba McKay's Food and Pharmacy
- Community/Retail Pharmacy
- Lexington Park, MD
- NPI 1992885875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1396879862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206360098",
"telephone_number": "301-373-5848",
"fax_number": "301-373-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40845 MERCHANTS LN",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503767",
"telephone_number": "301-997-1849",
"fax_number": "301-997-1284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRLAND MARKET INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2009-05-11",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "CHERRY",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "301-373-5848"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P01755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD PHARMACY PERMIT",
"identifier": "P01755",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2118897",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4017153",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "McKay's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}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 May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.