Active NPI
Polaris Pharmacy Services of Maryland LLC
- Long Term Care Pharmacy
- Windsor Mill, MD
National Provider Identifier
1689209496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- POLARIS PHARMACY SERVICES OF MARYLAND LLC
- Practice address
- 7200 Rutherford Rd Ste 170
Windsor Mill, MD 21244-2743 - Phone
- (800) 589-9747
- Fax
- (954) 923-9261
- NPI assigned
- Mar 12, 2020
- 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
- Gina Hunt
- Title
- National Director of Billing & Reim
- Phone
- (800) 589-9747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
7200 Rutherford Rd Ste 170
Windsor Mill, MD 21244-2743
Mailing address
2900 NW 60TH St
Fort Lauderdale, FL 33309-1735
Phone (800) 589-9747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200529001761 | MD | DME Supplier - Pharmacy | 6002237013 | Practice locations: Windsor Mill, MD |
| O20201023002407 | MD | Part B Supplier - Pharmacy | 6002237013 | Practice locations: Windsor Mill, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Polaris Pharmacy Services of Maryla | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Mail Order) | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
9113 Liberty Rd
Randallstown, MD 21133
Phone (888) 888-5382
7200 Rutherford Rd
Ste 170
Windsor Mill, MD 21244
Phone (410) 826-9600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1689209496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NW 60TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091735",
"telephone_number": "800-589-9747",
"fax_number": "954-923-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 RUTHERFORD RD STE 170",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212442743",
"telephone_number": "800-589-9747",
"fax_number": "954-923-9261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLARIS PHARMACY SERVICES OF MARYLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-12",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "NATIONAL DIRECTOR OF BILLING & REIM",
"authorized_official_telephone_number": "800-589-9747"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.