Blue Door Pharmacies

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17034 Issued in MD

Legal business name

BLUE DOOR PHARMACIES

Doing business as

Shady Grove Pharmacy

Practice address

15225 Shady Grove Rd
Suite 101
Rockville, MD 20850-3254

Phone

(301) 948-4222

NPI assigned

Jun 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sheila Alizadeh, PHARMD

Title

Co-Owner/Pic

Phone

(240) 731-2813

Specialties & licenses 1

Addresses

Other names 1

• Shady Grove Pharmacy Doing business as

Tax ID family

Blue Door Pharmacies2 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.

• Blue Door Pharmacies

  • Community/Retail Pharmacy
  • Rockville, MD
  • NPI 1245245851
  NPD tax ID

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276300800000",
    "number": "1902127087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 10TH ST NW",
            "address_2": "SUITE 709",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014311",
            "telephone_number": "202-631-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "SUITE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503254",
            "telephone_number": "301-948-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOOR PHARMACIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-12",
        "last_updated": "2010-06-12",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CO-OWNER/PIC",
        "authorized_official_telephone_number": "240-731-2813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "17034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shady Grove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marnee Bloomfield, STUDENT
• Leah Taiba Bloshteyn
• Mary Ann Blotzer, LCSW C
• Anthony Blount
• Blue Door Pharmacies
• Blue Moon Behavioral Health, PLLC
• Keira Blue
• Shaniya Blue
• Bluefish Therapy and Consulting, LLC
• Tammy Bluford

• Community/Retail Pharmacy in Rockville, MD
• Providers in Rockville, 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 Jun 12, 2010; 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.