Park Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01383 Issued in MD

Legal business name

PARK PHARMACY INC

Practice address

580 Ritchie Hwy
Severna Park, MD 21146-3924

Phone

(410) 544-7275

Fax

(410) 544-9586

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Steve Wells

Title

President

Phone

(410) 544-7275

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PARK PHARMACY INC Doing business as

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1699868034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463924",
            "telephone_number": "410-544-7275",
            "fax_number": "410-544-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463924",
            "telephone_number": "410-544-7275",
            "fax_number": "410-544-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-544-7275"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482402400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elba M Pacheco, M.D.
• Nino Pagapulaan, PT
• Raymond Palasik
• Erin K Paluchowski, D.D.S.
• Alyssa Mae Panzer
• Park Professional Pharmacy LLC
• Park Professional Pharmacy LLC
• Park Wellness Group LLC
• Moses Park
• Elizabeth Parker, LCMFT

• Community/Retail Pharmacy in Severna Park, MD
• Providers in Severna Park, 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 Feb 21, 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.