Organization Active NPI

Citizens Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Havre de Grace, MD
National Provider Identifier
1558318048
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CITIZENS PHARMACY SERVICES INC
Practice address
415A Market St
Havre de Grace, MD 21078-3301
Phone
(410) 939-4404
Fax
(410) 939-3609
NPI assigned
May 28, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Keith Pozanek
Title
Pharmacy Director
Phone
(410) 939-4404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 516620900 MD
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

415A Market St
Havre de Grace, MD 21078-3301

Mailing address

415A Market St
Havre de Grace, MD 21078-3301
Phone (410) 939-4404

Other identifiers 2

IdentifierTypeStateIssuer
516620900MedicaidMD
453672000MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092243 MD DME Supplier - Pharmacy 5799802302 Practice locations: Havre de Grace, MD

National Provider Directory

National Provider Directory
Tax ID family
Citizens Pharmacy Services Inc2 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.

Locations

415A Market St
Havre de Grace, MD 21078
Phone (410) 939-4404

Practitioners & affiliated clinicians

Practitioners 1

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1558318048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415A MARKET ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783301",
            "telephone_number": "410-939-4404",
            "fax_number": "410-939-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415A MARKET ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783301",
            "telephone_number": "410-939-4404",
            "fax_number": "410-939-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "POZANEK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "410-939-4404"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "516620900",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516620900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "453672000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.