Organization Active NPI

Family Meds Inc

  • Community/Retail Pharmacy
  • Waldorf, MD
National Provider Identifier
1598093122
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05259 Issued in MD
Legal business name
FAMILY MEDS INC
Doing business as
Family Meds Inc
Practice address
12114 Old Line Ctr Unit R-7a
Waldorf, MD 20602-2553
Phone
(301) 396-9277
Fax
(301) 396-9353
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Joseph Penzenstadler
Title
Ceo/Owner
Phone
(240) 687-2830

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P05259 MD Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

12114 Old Line Ctr Unit R-7a
Waldorf, MD 20602-2553

Mailing address

12114 Old Line Ctr Unit R-7a
Waldorf, MD 20602-2553
Phone (301) 396-9277

Other identifiers 2

IdentifierTypeStateIssuer
031919800MedicaidMD
2123661OtherPK

Other names 1

  • Family Meds Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160114000242 MD Part B Supplier - Mass Immunization (Roster Biller Only) 4183889785 Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory

Locations

12114 Old Line Ctr
Unit R7A
Waldorf, MD 20602
Phone (301) 396-9277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1598093122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12114 OLD LINE CTR UNIT R-7A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022553",
            "telephone_number": "301-396-9277",
            "fax_number": "301-396-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12114 OLD LINE CTR UNIT R-7A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022553",
            "telephone_number": "301-396-9277",
            "fax_number": "301-396-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2025-09-19",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "PENZENSTADLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "240-687-2830"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05259",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031919800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Meds Inc",
            "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 Sep 19, 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.