Active NPI
Ultima, LLC
Doing business as UltimaMedical
- Mail Order Pharmacy
- Columbia, MD
National Provider Identifier
1679297931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- Legal business name
- ULTIMA, LLC
- Doing business as
- UltimaMedical
- Practice address
- 10320 Little Patuxent Pkwy Ste 200
Columbia, MD 21044-3344 - Phone
- (973) 510-2100
- NPI assigned
- Sep 30, 2022
- Last updated
- Nov 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- K.C. Gleaton
- Title
- Manager
- Phone
- (973) 510-2100
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Non-Pharmacy Dispensing Site | 332900000X | |||
| Mail Order Pharmacy | 3336M0002X | Primary | ||
| Supports Brokerage Agency | 251X00000X |
Addresses
Primary practice location
10320 Little Patuxent Pkwy Ste 200
Columbia, MD 21044-3344
Mailing address
2851 Jessup Rd Unit 932
Jessup, MD 20794-7545
Phone (973) 510-2100
Other names 1
- UltimaMedical
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | officeally.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1679297931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 JESSUP RD UNIT 932",
"city": "JESSUP",
"state": "MD",
"postal_code": "207947545",
"telephone_number": "973-510-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10320 LITTLE PATUXENT PKWY STE 200",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443344",
"telephone_number": "973-510-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTIMA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-30",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "GLEATON",
"authorized_official_first_name": "K.C.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "973-510-2100"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "officeally.com",
"affiliation": "N",
"endpointDescription": "CMS Software",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10320 Little Patuxent Pkwy Ste 200",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "UltimaMedical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "UltimaMedical",
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.