NPIMap

Organization Active NPI

Three Lower Counties Community Services Inc

  • Community/Retail Pharmacy
  • Princess Anne, MD
National Provider Identifier
1992889737
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04533 Issued in MD
Legal business name
THREE LOWER COUNTIES COMMUNITY SERVICES INC
Practice address
12137 Elm St
Princess Anne, MD 21853-1358
Phone
(410) 651-5555
Fax
(410) 651-2071
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Mr. Brian E Holland, CPA
Title
Ceo
Phone
(410) 749-1015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P04533 MD Primary

Addresses

Primary practice location

12137 Elm St
Princess Anne, MD 21853-1358

Mailing address

32033 Beaver Run Dr
Salisbury, MD 21804-1773
Phone (410) 749-1015

Other identifiers 2

IdentifierTypeStateIssuer
012057000MedicaidMD
2038199OtherPK

Other names 1

  • Delmarva Pharmacy 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Three Lower Counties Comm37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

32003 Beaver Run Dr
Salisbury, MD 21804

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1992889737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32033 BEAVER RUN DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041773",
            "telephone_number": "410-749-1015",
            "fax_number": "410-651-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12137 ELM ST",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531358",
            "telephone_number": "410-651-5555",
            "fax_number": "410-651-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LOWER COUNTIES COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-749-1015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012057000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2038199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmarva Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princess Anne, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.