Organization Active NPI

Millennium Pharmacy Systems LLC

  • Long Term Care Pharmacy
  • Columbia, MD
National Provider Identifier
1659417269
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PW0299 Issued in MD
Legal business name
MILLENNIUM PHARMACY SYSTEMS LLC
Doing business as
PharMerica
Practice address
7100 Columbia Gateway Dr Ste 100
Columbia, MD 21046-2955
Phone
(443) 285-0306
Fax
(443) 285-0308
NPI assigned
Jan 30, 2007
Organization subpart
Yes
Parent organization
PHARMACY CORPORATION OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Allison L. Brown
Title
Secretary
Phone
(502) 630-7429

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PW0299 MD Primary

Addresses

Primary practice location

7100 Columbia Gateway Dr Ste 100
Columbia, MD 21046-2955

Mailing address

7100 Columbia Gateway Dr
Ste 100/110
Columbia, MD 21046-2140
Phone (443) 285-0306

Other identifiers 3

IdentifierTypeStateIssuer
412181300MedicaidMD
485655OtherMDCONTROLLED SUBSTANCE
PW0478OtherMDBOARD OF PHARMACY

Other names 1

  • PharMerica Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110817000059 MD DME Supplier - Pharmacy 7416151204 Practice locations: Columbia, MD
O20220111000642 MD Part B Supplier - Mass Immunization (Roster Biller Only) 7416151204 Practice locations: Columbia, MD

National Provider Directory

National Provider Directory
Tax ID family
Millennium Pharmacy Systems LLC2 organizations share this tax ID, including this one
Part of
Beverly Enterrises

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7100 Columbia Gateway Dr
Ste 100
Columbia, MD 21046
Phone (443) 285-0306

7100 Columbia Gateway Dr
Ste 100110
Columbia, MD 21046
Phone (443) 285-0306

202 Perry Pkwy
Ste 8
Gaithersburg, MD 20877
Phone (301) 947-4951

1500 Industry Rd
Ste A
Hatfield, PA 19440
Phone (215) 393-8001

5020 Ritter Rd
Ste 110
Mechanicsburg, PA 17055
Phone (724) 940-2490

Practitioners & affiliated clinicians

Practitioners 5

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1659417269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COLUMBIA GATEWAY DR",
            "address_2": "STE 100/110",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462140",
            "telephone_number": "443-285-0306",
            "fax_number": "443-285-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 COLUMBIA GATEWAY DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462955",
            "telephone_number": "443-285-0306",
            "fax_number": "443-285-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PHARMACY SYSTEMS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMACY CORPORATION OF AMERICA",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-630-7429"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412181300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "485655",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PW0478",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharMerica",
            "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 Feb 13, 2024; 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.