NPIMap

Organization Active NPI

Partners Pharmacy of Maryland LLC

  • Long Term Care Pharmacy
  • Columbia, MD
National Provider Identifier
1649470220
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PW0304 Issued in MD
Legal business name
PARTNERS PHARMACY OF MARYLAND LLC
Practice address
8910 Route 108
Suite C
Columbia, MD 21045-2151
Phone
(410) 910-9260
Fax
(410) 740-0146
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Jody FenelonNPI 1942677893
Title
Vice-President of Compliance
Phone
(815) 985-4873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PW0304 MD Primary

Addresses

Primary practice location

8910 Route 108
Suite C
Columbia, MD 21045-2151

Mailing address

8910 Route 108
Suite C
Columbia, MD 21045-2151
Phone (410) 910-9260

Other identifiers 2

IdentifierTypeStateIssuer
2133510OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1649470220OtherNPPES

Other names 1

  • Advanced Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1649470220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 ROUTE 108",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452151",
            "telephone_number": "410-910-9260",
            "fax_number": "410-740-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 ROUTE 108",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452151",
            "telephone_number": "410-910-9260",
            "fax_number": "410-740-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHARMACY OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "FENELON",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "VICE-PRESIDENT OF COMPLIANCE",
        "authorized_official_telephone_number": "815-985-4873"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2133510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1649470220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.