Mid-Atlantic Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

P03141 Issued in MD

Legal business name

MID-ATLANTIC PHARMACY, LLC

Practice address

9715 Healthway Dr
Pob 829
Berlin, MD 21811-3500

Phone

(410) 641-0036

Fax

(410) 641-0033

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Anne T Copeland, R.PH.

Title

Pharmacy Manager

Phone

(410) 641-0036

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881735082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 HEALTHWAY DR",
            "address_2": "P.O. BOX 829",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113500",
            "telephone_number": "410-641-0036",
            "fax_number": "410-641-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 HEALTHWAY DR",
            "address_2": "POB 829",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113500",
            "telephone_number": "410-641-0036",
            "fax_number": "410-641-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "410-641-0036",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "P03141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard W Merritt II
• Jeffery Charles Michael, D.C.
• Zachary Michalov, DPT
• Mid Atlantic Surgical Group
• Mid-Atlantic Long Term Care, LLC
• Tyrese Milbourne
• Jennifer Miller, PHARMD
• Laura Miller, M.S.
• Brenna Lauren Shockley Mills
• Jennifer Mitchell, MA

• Long Term Care Pharmacy in Berlin, MD
• Providers in Berlin, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.