1598726879 NPI number — QUALITY DISPENSING PHARMACY INC

Table of content: (NPI 1598726879)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598726879 NPI number — QUALITY DISPENSING PHARMACY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY DISPENSING PHARMACY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Q.D. PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598726879
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5711 INDUSTRY LANE
Provider Second Line Business Mailing Address:
SUITE 32
Provider Business Mailing Address City Name:
FREDERICK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21704-8211
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-360-9600
Provider Business Mailing Address Fax Number:
301-360-9906

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5711 INDUSTRY LANE
Provider Second Line Business Practice Location Address:
SUITE 32
Provider Business Practice Location Address City Name:
FREDERICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21704-8211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-360-9600
Provider Business Practice Location Address Fax Number:
301-360-9906
Provider Enumeration Date:
03/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRITZ
Authorized Official First Name:
MARILOU
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
301-360-9600

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  PW0258 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 599270000-00 . This is a "NPI MEDICAID #" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2131908 . This is a "NABP / NCPDP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 214001009 . This is a "VA PHARMACY LICENSE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 9927000-00 . This is a "MEDICAID DME / DMS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: A08011199 . This is a "MEDICARE SUBMITTER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 3810007765 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: PW0258 . This is a "MD PHARMACY LICENSE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0024325-00 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10264057 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com