NPIMap

Organization Active NPI

Lower Shore Pharmacy

  • Long Term Care Pharmacy
  • Salisbury, MD
National Provider Identifier
1528599677
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LOWER SHORE PHARMACY
Practice address
505 E Main St
Salisbury, MD 21804-5020
Phone
(410) 341-4710
NPI assigned
Mar 21, 2017
Last updated
May 26, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SEQUON, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Joel F Feldman
Title
President
Phone
(410) 292-3730

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

505 E Main St
Salisbury, MD 21804-5020

Mailing address

200 Chattolanee Hill Rd
Owings Mills, MD 21117-4315
Phone (410) 292-3730

Other identifiers 1

IdentifierTypeStateIssuer
120397500MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Sequon LLC11 organizations share this tax ID, including this one
Part of
Sequon LLC

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1528599677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHATTOLANEE HILL RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174315",
            "telephone_number": "410-292-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045020",
            "telephone_number": "410-341-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER SHORE PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEQUON, INC.",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-292-3730"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120397500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 26, 2017; 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.