Organization Active NPI

Paper Mill Pharmacy, Inc

  • Community/Retail Pharmacy
  • Phoenix, MD
National Provider Identifier
1982743399
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P02329 Issued in MD
Legal business name
PAPER MILL PHARMACY, INC
Practice address
3320 Paper Mill Rd
Phoenix, MD 21131-1419
Phone
(410) 667-4600
Fax
(410) 667-4716
NPI assigned
Feb 5, 2007
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Mr. David Alan Perrott, R.PH.NPI 1346389657
Title
President Owner
Phone
(410) 667-4600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P02329 MD Primary

Addresses

Primary practice location

3320 Paper Mill Rd
Phoenix, MD 21131-1419

Mailing address

3320 Paper Mill Rd
Phoenix, MD 21131-1419
Phone (410) 667-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200409001064 MD Part B Supplier - Mass Immunization (Roster Biller Only) 0244341543 Practice locations: Phoenix, MD

National Provider Directory

National Provider Directory

Locations

3320 Paper Mill Rd
Phoenix, MD 21131
Phone (410) 667-4600

Practitioners & affiliated clinicians

Practitioners 2

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1982743399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PAPER MILL RD",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311419",
            "telephone_number": "410-667-4600",
            "fax_number": "410-667-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 PAPER MILL RD",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311419",
            "telephone_number": "410-667-4600",
            "fax_number": "410-667-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPER MILL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "PERROTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT   OWNER",
        "authorized_official_telephone_number": "410-667-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P02329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.