NPIMap

Organization Active NPI

New Market Pharmact, LLC

  • Pharmacy
  • Waldorf, MD
National Provider Identifier
1417249756
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NEW MARKET PHARMACT, LLC
Practice address
11709 Fair Oaks Way
Waldorf, MD 20602-3192
Phone
(301) 472-1987
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Awet Gebregziabher, PHARM.D
Title
Pharmacist (Member)
Phone
(301) 472-1987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

11709 Fair Oaks Way
Waldorf, MD 20602-3192

Mailing address

29015 Three Notch Rd Unit # 7
Mechanicsville, MD 20659

National Provider Directory

National Provider Directory

Locations

29015 Three Notch Rd
Unit 7
Mechanicsville, MD 20659

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1417249756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29015 THREE NOTCH RD UNIT # 7",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "20659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 FAIR OAKS WAY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023192",
            "telephone_number": "301-472-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MARKET PHARMACT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "GEBREGZIABHER",
        "authorized_official_first_name": "AWET",
        "authorized_official_title_or_position": "PHARMACIST (MEMBER)",
        "authorized_official_telephone_number": "301-472-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.