Active NPI
St Mary Health LLC
- Long Term Care Pharmacy
- Charlotte Hall, MD
National Provider Identifier
1568327203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- ST MARY HEALTH LLC
- Practice address
- 30170 Three Notch Rd Unit B
Charlotte Hall, MD 20622-4119 - Phone
- (201) 744-0481
- Fax
- (240) 448-3301
- NPI assigned
- Dec 16, 2025
- Organization subpart
- Yes
- Parent organization
- ST MARY HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dipen Patel, PHARMACIST
- Title
- Partner
- Phone
- (201) 744-0481
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
30170 Three Notch Rd Unit B
Charlotte Hall, MD 20622-4119
Mailing address
30170 Three Notch Rd Unit B
Charlotte Hall, MD 20622-4119
National Provider Directory
National Provider Directory- Tax ID family
- St Mary Health LLC
- Part of
- St Mary Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Charlotte Hall, MD
- NPI 1124983861
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Charlotte Hall, MD
- NPI 1124983861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1568327203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30170 THREE NOTCH RD UNIT B",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206224119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30170 THREE NOTCH RD UNIT B",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206224119",
"telephone_number": "201-744-0481",
"fax_number": "240-448-3301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARY HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST MARY HEALTH LLC",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DIPEN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "201-744-0481",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte Hall, MD
- Arpana Shah, MD
- Ila Shah
- Justin A Shaner
- Emily Nicole Shipley, MOTR/L
- St Mary Health LLC
- St. Mary's Hospital of St. Mary's County, Inc. (North County Express Care)
- Laura R Starks, PT
- Summer Claire Staso, M.S, CF-SLP
- State of Maryland Central Payroll Bureau (Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families)
- Shara Amber Stone, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.