Northgate Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

P04037 Issued in MD

Legal business name

NORTHGATE PHARMACY INC.

Practice address

3973 Saint Charles Pkwy
Waldorf, MD 20602-2683

Phone

(301) 932-7977

Fax

(301) 932-9373

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Ippolito, RPH

Title

Pharmacist/President

Phone

(301) 932-7977

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northgate Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679570253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 SAINT CHARLES PKWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022683",
            "telephone_number": "301-932-7977",
            "fax_number": "301-932-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 SAINT CHARLES PKWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022683",
            "telephone_number": "301-932-7977",
            "fax_number": "301-932-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "IPPOLITO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "301-932-7977",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P04037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS NUMBER",
            "identifier": "456785",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT #",
            "identifier": "P04037",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northgate Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cronicle Chia Ghia Nkwain
• Emmanuel Gideon Nnabuko
• Lorita Nkechi Nnaka
• Virginia Noftsier, PA-C
• Jimmy Norman, DNP, MSN, RN, APHN
• Kecia Northington, LGSW
• Frank Edward Norton, PH.D.
• Sammy Stefan Noumbissi
• Edwige Mbiakeu Noungwa
• Nova Physical Therapy, LLC

• Pharmacy in Waldorf, MD
• Providers in Waldorf, 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.