Milford Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P04962 Issued in MD

Legal business name

MILFORD PHARMACY LLC

Doing business as

Milford Pharmacy LLC

Practice address

8035A Liberty Rd
Baltimore, MD 21244-2966

Phone

(410) 922-9466

Fax

(401) 922-9467

NPI assigned

Jan 1, 2009

Organization subpart

No

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

Authorized official

Name

Nico Mawun

Title

Owner

Phone

(703) 926-3219

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Milford Pharmacy LLC Doing business as

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1699911263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035A LIBERTY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035A LIBERTY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442966",
            "telephone_number": "410-922-9466",
            "fax_number": "401-922-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-01",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "MAWUN",
        "authorized_official_first_name": "NICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-926-3219"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04962",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2134346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn Miles
• Tyonn Akira Miles
• Jennifer Milesky
• Milestone ABA MD LLC
• Mark Miley, PA-C
• Arthur V Milholland, M.D.
• Hannah Milhorn
• Scott Miliman
• Jessica Raylene Milin
• Emily Marie Milinski

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, 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 17, 2009; 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.