The Medicine Shoppe Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

P04669 Issued in MD

Legal business name

THE MEDICINE SHOPPE PHARMACY

Practice address

5507 Ritchie Hwy Ste a
Brooklyn Park, MD 21225-3472

Phone

(410) 789-8722

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Asma Niazi, R.PH

Title

Partner

Phone

(410) 789-8722

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Noori 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.

• Noori LLC

  dba The Medicine Shoppe Pharmacy

  • Long Term Care Pharmacy
  • Brooklyn Park, MD
  • NPI 1417304312
  NPD tax ID

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1447608963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 RITCHIE HWY STE A",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253472",
            "telephone_number": "410-789-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 RITCHIE HWY STE A",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253472",
            "telephone_number": "410-789-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE SHOPPE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "NIAZI",
        "authorized_official_first_name": "ASMA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-789-8722",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "P04669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015476800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Brooklyn Park, MD
• Providers in Brooklyn Park, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.