NPIMap

Organization Active NPI

Manchester Drugs Inc

Doing business as Taneytown Pharmacy

  • Pharmacy
  • Taneytown, MD
National Provider Identifier
1619913233
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P03001 Issued in MD
Legal business name
MANCHESTER DRUGS INC
Doing business as
Taneytown Pharmacy
Practice address
417 E Baltimore St
Suite #A1
Taneytown, MD 21787-2300
Phone
(410) 756-5240
Fax
(410) 756-5243
NPI assigned
Jun 21, 2006
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Thomas Bolton, RPHNPI 1477662302
Title
Owner
Phone
(410) 765-5240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P03001 MD Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

417 E Baltimore St
Suite #A1
Taneytown, MD 21787-2300

Mailing address

417 E Baltimore St
Suite # A1
Taneytown, MD 21787-2300

Other identifiers 2

IdentifierTypeStateIssuer
368812700MedicaidMD
2126363OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • TANEYTOWN PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130225000242 MD Part B Supplier - Mass Immunization (Roster Biller Only) 8426169806 1 other NPI on this enrollment
Practice locations: Manchester, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

417 E Baltimore St
#A1
Taneytown, MD 21787
Phone (410) 756-5240

417 E Baltimore St
Ste A1
Taneytown, MD 21787
Phone (410) 756-5240

Practitioners & affiliated clinicians

Practitioners 2

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1619913233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E BALTIMORE ST",
            "address_2": "SUITE # A1",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217872300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E BALTIMORE ST",
            "address_2": "SUITE #A1",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217872300",
            "telephone_number": "410-756-5240",
            "fax_number": "410-756-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-765-5240",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P03001",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368812700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2126363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TANEYTOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taneytown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.