Medidoz Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDIDOZ PHARMACY LLC

Practice address

23213 Stringtown Rd
Clarksburg, MD 20871-9363

Phone

(703) 554-7909

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robert Alan Richardson

Title

Owner

Phone

(301) 428-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thrive Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1669718706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23213 STRINGTOWN RD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719363",
            "telephone_number": "301-428-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23213 STRINGTOWN RD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719363",
            "telephone_number": "703-554-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIDOZ PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-428-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339705000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Mazjanis, CRNA
• Valentine E Mbogne
• Maureen Laura McAllister, BS, E-RYT 500, YACEP
• Julia McCafferty
• Heather Murray McKenna, MA, LCPC
• Mel'S Home Healthcare Agency LLC
• Addisalem Menna
• Mind Stability, LLC
• Mindful Living Institute LLC
• Susita Moorthy, PT

• Community/Retail Pharmacy in Clarksburg, MD
• Providers in Clarksburg, 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 Jun 2, 2016; 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.