Organization Active NPI

Park Professional Pharmacy LLC

  • Community/Retail Pharmacy
  • Severna Park, MD
National Provider Identifier
1740913185
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARK PROFESSIONAL PHARMACY LLC
Practice address
580 Ritchie Hwy Ste N
Severna Park, MD 21146-3926
Phone
(301) 775-1800
NPI assigned
Jul 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Authorized official

Name
Neil McGarvey, PHARMDNPI 1780080572
Title
Owner
Phone
(301) 775-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

580 Ritchie Hwy Ste N
Severna Park, MD 21146-3926

Mailing address

580 Ritchie Hwy Ste N
Severna Park, MD 21146-3926

Other names 1

  • Park Professional Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230907002269 MD Part B Supplier - Pharmacy 5092179184 Practice locations: Severna Park, MD
O20240201000368 MD DME Supplier - Pharmacy 5092179184 Practice locations: Severna Park, MD

National Provider Directory

National Provider Directory
Tax ID family
Park Professional Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

580 Ritchie Hwy
Ste N
Severna Park, MD 21146
Phone (410) 544-7275

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1740913185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY STE N",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY STE N",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463926",
            "telephone_number": "301-775-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PROFESSIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A",
        "authorized_official_last_name": "MCGARVEY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-775-1800",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.