Organization Active NPI

Charles Care Pharmacy LLC

Doing business as Anchor Pharmacy

  • Community/Retail Pharmacy
  • Waldorf, MD
National Provider Identifier
1497702203
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO1327 Issued in MD
Legal business name
CHARLES CARE PHARMACY LLC
Doing business as
Anchor Pharmacy
Practice address
11355 Pembrooke SQ
Ste 109
Waldorf, MD 20603-4805
Phone
(301) 932-4200
Fax
(301) 870-7581
NPI assigned
May 27, 2006
Last updated
Jul 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Shannon Murphy
Title
Operations Manager
Phone
(410) 848-9251

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PO1327 MD Primary

Addresses

Primary practice location

11355 Pembrooke SQ
Ste 109
Waldorf, MD 20603-4805

Mailing address

PO Box 1750
Mechanicsville, VA 23116-0005
Phone (410) 848-9851

Other identifiers 2

IdentifierTypeStateIssuer
405217000MedicaidMD
2127529OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ANCHOR PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1497702203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231160005",
            "telephone_number": "410-848-9851",
            "fax_number": "443-639-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 PEMBROOKE SQ",
            "address_2": "STE 109",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034805",
            "telephone_number": "301-932-4200",
            "fax_number": "301-870-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "410-848-9251"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PO1327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405217000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2127529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANCHOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 2009; 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.