LTC Pharmacy Services Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PW0251 Issued in MD

Legal business name

LTC PHARMACY SERVICES INC

Practice address

13708 Bold Venture Drive
Glenelg, MD 21737

Phone

(410) 489-5770

Fax

(410) 489-5771

NPI assigned

Aug 24, 2006

Last updated

Mar 7, 2023By 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

Dr. Peter T Mbi

Title

Pharmacist

Phone

(410) 489-5770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669589651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 BOLD VENTURE DRIVE",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "21737",
            "telephone_number": "410-489-5770",
            "fax_number": "410-489-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13708 BOLD VENTURE DRIVE",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "21737",
            "telephone_number": "410-489-5770",
            "fax_number": "410-489-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MBI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-489-5770",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "PW0251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LC",
            "identifier": "PW0251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunita Adhikari Gupta
• Pamela Inake, OTR
• JPP, L.C.
• Julia Klusty, PA-C
• Lanyi Lin
• Anwar Asghar Malik, M.D.
• Ullal L Mallya, MD
• Marilyn Roberta Mathias, LCSW-C
• Glenn Molin, D.C.
• Next Level Home Care, LLC

• Pharmacy in Glenelg, MD
• Providers in Glenelg, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.