NPIMap

Organization Active NPI

Bedford Road Pharmacy, Inc.

Doing business as PharmaCare South Cumberland

  • Pharmacy
  • Cumberland, MD
National Provider Identifier
1497236343
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BEDFORD ROAD PHARMACY, INC.
Doing business as
PharmaCare South Cumberland
Practice address
1100 W Industrial Blvd
Cumberland, MD 21502-4460
Phone
(301) 722-5100
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BEDFORD ROAD PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Chad Corwell
Title
Director of Operations
Phone
(301) 777-1773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1100 W Industrial Blvd
Cumberland, MD 21502-4460

Mailing address

3 Commerce Dr
Cumberland, MD 21502-1058
Phone (301) 723-2423

Other names 1

  • PharmaCare South Cumberland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160811001114 MD Part B Supplier - Mass Immunization (Roster Biller Only) 7012034044 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cumberland, MD; Frostburg, MD; Lonaconing, MD

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bedford Road Pharmacy9 organizations share this tax ID, including this one
Part of
Bedford Road Pharmacy

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12502 Willowbrook Rd
Ste 203
Cumberland, MD 21502
Phone (301) 759-0203

1223A National Hwy
Lavale, MD 21502
Phone (240) 362-7445

19 Main St
Lonaconing, MD 21539
Phone (301) 463-5757

10010 Frankfort Hwy
Fort Ashby, WV 26719
Phone (304) 298-4557

Practitioners & affiliated clinicians

Practitioners 5

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": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1497236343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COMMERCE DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021058",
            "telephone_number": "301-723-2423",
            "fax_number": "301-723-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W INDUSTRIAL BLVD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024460",
            "telephone_number": "301-722-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD ROAD PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEDFORD ROAD PHARMACY, INC.",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "CORWELL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "301-777-1773"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmaCare South Cumberland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharmaCare South Cumberland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.