Organization Active NPI

Somerset Health Services LLC

Doing business as Crisfield Discount Pharmacy

  • Community/Retail Pharmacy
  • Crisfield, MD
National Provider Identifier
1972581825
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04174 Issued in MD
Legal business name
SOMERSET HEALTH SERVICES LLC
Doing business as
Crisfield Discount Pharmacy
Practice address
390 W Main St Unit a
Crisfield, MD 21817
Phone
(410) 968-1660
Fax
(410) 968-9102
NPI assigned
Jan 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Shah Mohammed Yahya, RP.HNPI 1962593699
Title
Vice President
Phone
(410) 968-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14326 MD
Community/Retail Pharmacy 3336C0003X P04174 MD Primary

Addresses

Primary practice location

390 W Main St Unit a
Crisfield, MD 21817

Mailing address

390 W Main St
Crisfield, MD 21817-1329
Phone (410) 968-1660

Other identifiers 6

IdentifierTypeStateIssuer
457383OtherMDMD. CONTROL DRUG SUBSTANC
P04174OtherMDPHARMACY PERMIT
010166268MedicaidVA
003150000MedicaidMD
2132051OtherMDNCPDP
408862000OtherMDMEDICAID DME

Other names 1

  • Crisfield Discount Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930024938 MD DME Supplier - Pharmacy 1254542897 Practice locations: Crisfield, MD
O20201027001430 MD Part B Supplier - Mass Immunization (Roster Biller Only) 1254542897 Practice locations: Crisfield, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Somerset Health Services LLC390 W Main St, Crisfield, MD 21817-1329(410) 968-1660 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Re… Does not accept assignmentParticipating since Jun 28, 2005

National Provider Directory

National Provider Directory

Locations

390 W Main St
Crisfield, MD 21817
Phone (410) 968-1660

390 W Main St
#A
Crisfield, MD 21817
Phone (410) 968-1660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972581825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W MAIN ST",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "218171329",
            "telephone_number": "410-968-1660",
            "fax_number": "410-968-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W MAIN ST UNIT A",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "21817",
            "telephone_number": "410-968-1660",
            "fax_number": "410-968-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-02",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "YAHYA",
        "authorized_official_first_name": "SHAH",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-968-1660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RP.H"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14326",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD. CONTROL DRUG SUBSTANC",
            "identifier": "457383",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "P04174",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010166268",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2132051",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "408862000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crisfield Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crisfield Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crisfield, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.