Professional Pharmacy Services, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO1961 Issued in MD

Legal business name

PROFESSIONAL PHARMACY SERVICES, INC.

Doing business as

NeighborCare-Woodholme

Practice address

1838 Greene Tree Rd
Baltimore, MD 21208-6391

Phone

(410) 486-8106

Fax

(410) 486-8560

NPI assigned

Aug 19, 2006

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-Woodholme Doing business as

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1851405229",
    "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": "1838 GREENE TREE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-486-8106",
            "fax_number": "410-486-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "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": "PO1961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269870600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2120880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeighborCare-Woodholme",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Proett, CNM
• Profesional Medical Imaging Solutions LLC (PET Imaging at White Marsh)
• Professional Management Services, LLC
• Professional Management Services, LLC
• Professional Pharmacy Services, Inc. (NeighborCare)
• Professional Respiratory Care, LLC
• Professional Sportscare and Rehab
• Professional Therapy Solutions LLC
• Professional Vision Associates, Inc.
• Jordan Proffitt

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, 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.