St Marys Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05680 Issued in MD

Legal business name

ST MARYS PHARMACY LLC

Practice address

25482 Point Lookout Rd BLDG 2
Leonardtown, MD 20650-3895

Phone

(301) 475-2025

Fax

(301) 475-2026

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Radha K Akula

Title

Owner

Phone

(301) 475-2025

Specialties & licenses 1

Addresses

Tax ID family

St Marys Pharmacy LLC2 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.

• St Marys Pharmacy LLC

  • Health Service Clinic/Center
  • Leonardtown, MD
  • NPI 1386036606
  NPD tax ID

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1780191858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25482 POINT LOOKOUT RD BLDG 2",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503895",
            "telephone_number": "301-475-2025",
            "fax_number": "301-475-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25482 POINT LOOKOUT RD BLDG 2",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503895",
            "telephone_number": "301-475-2025",
            "fax_number": "301-475-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "AKULA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-475-2025"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Marys Hospital of St Marys County Inc
• St Marys Hospital of St Marys County, Inc
• St Marys Pediatrics LLC
• St Marys Pharmacy LLC
• St Marys Pharmacy LLC
• St. Clements Internal Medicine
• St. Clements Medical Care, LLC
• St. Mary'S County Commissioners
• St. Mary'S County Health Department
• St. Mary'S County Health Department

• Community/Retail Pharmacy in Leonardtown, MD
• Providers in Leonardtown, 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 Jan 10, 2018; 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.