Broadneck Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05349 Issued in MD

Legal business name

BROADNECK PHARMACY INC

Doing business as

Broadneck Pharmacy

Practice address

269 Peninsula Farm Rd
Arnold, MD 21012-1013

Phone

(410) 544-3733

Fax

(410) 544-4055

NPI assigned

Jun 12, 2006

Last updated

Feb 14, 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

Marcus LachapelleNPI 1548878903

Title

President

Phone

(410) 544-3733

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Broadneck Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Marcus Lachapelle, PHARMD

  • Pharmacist
  • Arnold, MD
  • NPI 1548878903
  NPD Authorized official

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1629010483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 PENINSULA FARM RD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121013",
            "telephone_number": "410-544-3733",
            "fax_number": "410-544-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 PENINSULA FARM RD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121013",
            "telephone_number": "410-544-3733",
            "fax_number": "410-544-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADNECK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "LACHAPELLE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-544-3733"
    },
    "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": "P05349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367582300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadneck Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Berson, M.D.
• Ulric Bigby, MD
• John A. Billon, MD
• Birgitta Miller MD LLC
• Blue Heron Homecare, LLC (Senior Helpers of Annapolis)
• Eric Lamont Brooks
• Bruce Turnquist Psy.D. and Associates
• Clare Bubniak, LMSW
• Deborah Juanita Bullock, MD
• Victoria Burden

• Community/Retail Pharmacy in Arnold, MD
• Providers in Arnold, 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 Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.