NPIMap

Organization Active NPI

Eastern Shore Pharmacy Inc

  • Community/Retail Pharmacy
  • Salisbury, MD
National Provider Identifier
1437256369
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P02267 Issued in MD
Legal business name
EASTERN SHORE PHARMACY INC
Doing business as
Eastern Shore Pharmacy Inc
Practice address
400 Eastern Shore Dr Ste 103
Salisbury, MD 21804-5513
Phone
(410) 749-5253
Fax
(410) 749-6345
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
W Robert Elliott
Title
Owner and Pharmacist
Phone
(410) 749-5253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P02267 MD Primary

Addresses

Primary practice location

400 Eastern Shore Dr Ste 103
Salisbury, MD 21804-5513

Mailing address

400 Eastern Shore Dr Ste 103
Salisbury, MD 21804-5513
Phone (410) 749-5253

Other identifiers 2

IdentifierTypeStateIssuer
2036918OtherPK
890101500MedicaidMD

Other names 1

  • EASTERN SHORE PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

400 Eastern Shore Dr
Ste 103
Salisbury, MD 21804
Phone (410) 749-5253

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1437256369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EASTERN SHORE DR STE 103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045513",
            "telephone_number": "410-749-5253",
            "fax_number": "410-749-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EASTERN SHORE DR STE 103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045513",
            "telephone_number": "410-749-5253",
            "fax_number": "410-749-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "W ROBERT",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "410-749-5253"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P02267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2036918",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890101500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTERN SHORE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.