Professional Pharmacy Services, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO1223 Issued in MD

Legal business name

PROFESSIONAL PHARMACY SERVICES, INC.

Doing business as

NeighborCare-Southgate Pharmacy

Practice address

325 Hospital Dr
Glen Burnie, MD 21061-5860

Phone

(410) 768-3520

Fax

(410) 766-4519

NPI assigned

Aug 24, 2006

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela James

Title

Regulatory Licensing Mangager

Phone

(513) 719-2600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NeighborCare-Southgate Pharmacy Doing business as

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1780791715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 4TH ST",
            "address_2": "900 OMNICARE CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615860",
            "telephone_number": "410-768-3520",
            "fax_number": "410-766-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGULATORY LICENSING MANGAGER",
        "authorized_official_telephone_number": "513-719-2600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PO1223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2122618",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116201200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeighborCare-Southgate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Whitney Price, M.S., LCPC, LCADC
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• Proud Moments Licensed Behavior Analysts PLLC
• Paige Melanie Purcell, P.T.A.

• Community/Retail Pharmacy in Glen Burnie, MD
• Providers in Glen Burnie, 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 15, 2016; 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.