Organization Active NPI

Polaris Pharmacy Services of Maryland LLC

  • Long Term Care Pharmacy
  • Windsor Mill, MD
National Provider Identifier
1689209496
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on Jan 10, 2024

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)CodeLicenseStatePrimary
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 MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Polaris Pharmacy Services of Maryla7200 Rutherford Rd, Windsor Mill, MD 21244-2743(888) 888-5382 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Mail Order) Does not accept assignmentParticipating since Mar 1, 2020

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.