Paradigm Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

PW0212 Issued in MD

Legal business name

PARADIGM PHARMACY LLC

Practice address

408 Headquarters Dr
Suite 5
Millersville, MD 21108-2550

Phone

(410) 729-2131

Fax

(410) 729-1118

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leon Jay Vandenberg, RPH

Title

President

Phone

(410) 729-2131

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1770520017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HEADQUARTERS DR",
            "address_2": "SUITE 5",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082550",
            "telephone_number": "410-729-2131",
            "fax_number": "410-729-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 HEADQUARTERS DR",
            "address_2": "SUITE 5",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082550",
            "telephone_number": "410-729-2131",
            "fax_number": "410-729-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "VANDENBERG",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-729-2131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "PW0212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MK48",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEP",
            "identifier": "F869",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zeena Amir Osman
• Our House Assisted Living Facility
• Heather Andrus Pacheco, MD
• James Walter Pack, PA
• Meagan Pantelis
• Gisele C.W. Parker, M.ED, NCC, LCPC
• Tykiara Parker
• Partnership Development Group
• Partnership Development Group, Inc.
• Partnership Development Group, Inc.

• Pharmacist in Millersville, MD
• Providers in Millersville, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.