Glenmore Specialty Pharmacy Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PW0480 Issued in MD

Legal business name

GLENMORE SPECIALTY PHARMACY INC

Doing business as

Glenmore Specialty Pharmacy

Practice address

9712 Belair Rd Ste 101
Nottingham, MD 21236-1111

Phone

(410) 426-7000

Fax

(410) 426-0990

NPI assigned

Oct 3, 2006

Last updated

Apr 5, 2017By 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

Susan Zaremba

Title

President and Pharmacist

Phone

(410) 426-7000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GLENMORE SPECIALTY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1790879104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 101",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361111",
            "telephone_number": "410-426-7000",
            "fax_number": "410-426-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 101",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361111",
            "telephone_number": "410-426-7000",
            "fax_number": "410-426-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENMORE SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "ZAREMBA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT AND PHARMACIST",
        "authorized_official_telephone_number": "410-426-7000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MD",
            "license": "PW0480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENMORE SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Compounding Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.