St Marys Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05680 Issued in MD

Legal business name

ST MARYS PHARMACY LLC

Doing business as

St Marys Pharmacy llc

Practice address

25482 Point Lookout Rd BLDG 2
Leonardtown, MD 20650-3895

Phone

(301) 475-2025

Fax

(301) 475-2026

NPI assigned

Mar 10, 2012

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanuja KattaNPI 1891007662

Title

Pharmacist Incharge

Phone

(301) 768-9117

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• St Marys Pharmacy llc Doing business as

Locations

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.

• Tanuja Katta, RPH

  • Pharmacist
  • Waldorf, MD
  • NPI 1891007662
  Authorized official Same address or phone

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1588939425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25482 POINT LOOKOUT RD",
            "address_2": "BUILDING 2 UNIT 203C",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503895",
            "telephone_number": "301-475-2025",
            "fax_number": "301-475-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25482 POINT LOOKOUT RD BLDG 2",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503895",
            "telephone_number": "301-475-2025",
            "fax_number": "301-475-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-10",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "KATTA",
        "authorized_official_first_name": "TANUJA",
        "authorized_official_title_or_position": "PHARMACIST INCHARGE",
        "authorized_official_telephone_number": "301-768-9117"
    },
    "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": "05680",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Marys Pharmacy llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Mary's Hospital Psychiatry
• St Marys Hospital of St Marys County Inc (MedStar St. Mary's Hospital)
• St Marys Hospital of St Marys County, Inc (Medstar St Marys Hospital Pharmacy)
• St Marys Pediatrics LLC
• St Marys Pharmacy LLC
• St Marys Pharmacy LLC
• St. Clements Internal Medicine
• St. Clements Medical Care, LLC
• St. Mary's County Commissioners (St. Mary's County Dept of Emergency Services)
• St. Mary's County Health Department

• Community/Retail Pharmacy in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.