City Pharmacy of Elkton, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

R1023 Issued in MD

Legal business name

CITY PHARMACY OF ELKTON, INC.

Doing business as

City Home Medical Supply

Practice address

721 N Bridge St
Elkton, MD 21921-5309

Phone

(410) 392-2850

Fax

(410) 620-3568

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Andrew Caldwell

Title

Compliance Officer

Phone

(410) 392-2850

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City Home Medical Supply Doing business as

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1992779524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215309",
            "telephone_number": "410-392-2850",
            "fax_number": "410-620-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215309",
            "telephone_number": "410-392-2850",
            "fax_number": "410-620-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PHARMACY OF ELKTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "410-392-2850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R1023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417908100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "351551-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Home Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rebecca Anne Cleiman, D.D.S.
• William Michael Clifford, DC
• Nancy Clough, RN

• Durable Medical Equipment & Medical Supplies in Elkton, MD
• Providers in Elkton, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.