Paper Mill Pharmacy, Inc

Key facts

NPI

1982743399

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

P02329 (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

Organization subpart

No

Authorized official

Name

Mr. David Alan Perrott, R.PH. NPI 1346389657

Title

President Owner

Phone

(410) 667-4600

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alan Perrott, R.PH. Pharmacist · Phoenix, MD · NPI 1346389657
  NPD Authorized official
• John Jerome Pycha, P.D. Pharmacist · Phoenix, MD · NPI 1750501110
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MD

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2012.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221508000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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