Organization Active NPI

The Drug Store, LLC

  • Community/Retail Pharmacy
  • Hurlock, MD
National Provider Identifier
1487796959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P00894 Issued in MD
Legal business name
THE DRUG STORE, LLC
Practice address
103 Poplar St
Hurlock, MD 21643
Phone
(410) 943-4959
Fax
(410) 943-3028
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen L Disharoon, RPH
Title
Chief Pharmacist, Owner
Phone
(410) 943-4959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P00894 MD Primary

Addresses

Primary practice location

103 Poplar St
Hurlock, MD 21643

Mailing address

PO Box 208
103 Poplar St
Hurlock, MD 21643-0208
Phone (410) 943-4959

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487796959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "address_2": "103 POPLAR ST",
            "city": "HURLOCK",
            "state": "MD",
            "postal_code": "216430208",
            "telephone_number": "410-943-4959",
            "fax_number": "410-943-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 POPLAR ST",
            "city": "HURLOCK",
            "state": "MD",
            "postal_code": "21643",
            "telephone_number": "410-943-4959",
            "fax_number": "410-943-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DRUG STORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISHAROON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF PHARMACIST, OWNER",
        "authorized_official_telephone_number": "410-943-4959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P00894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurlock, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.