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PROFESSIONAL PHARMACY
NPI 1023178589
Durable Medical Equipment & Medical Supplies in Baltimore, MD

Active since December 12, 2006CLIA 21D2196228 · Waiver
9106 PHILADELPHIA RD, BALTIMORE, MD 21237(410) 687-8113(410) 391-3922 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Professional Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PHARMACY (NPI 1023178589) is a healthcare organization registered as a durable medical equipment & medical supplies in Baltimore, Maryland and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists John Vanwie, Owner, as its authorized official.

NPPES Registry Identity

NPI1023178589
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJOHN WAYNE PHARMACY LLC
Location Address9106 PHILADELPHIA RDBaltimore, MD 21237-4329
Mailing Address9106 Philadelphia RdBaltimore, MD 21237-4329 · (410) 687-8113 · Fax (410) 391-3922
Phone(410) 687-8113
Fax(410) 391-3922
Organization SubpartNo
Authorized OfficialJohn VanwieOwner · (410) 687-8113
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023178589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

9106 PHILADELPHIA RD, Baltimore, MD 21237
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Other Names 1

Doing Business AsProfessional Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2196228

Professional Pharmacy · Rosedale, MD
Active · expires Oct 14, 2026
CLIA Number21D2196228
Laboratory TypePharmacy
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorChristine Lee
Laboratory Phone(410) 687-8113
Laboratory LocationProfessional Pharmacy9106 Philadelphia Road #100, Rosedale, MD 21237
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RUQAYYA MIR M.D.
Pediatrics
9106 PHILADELPHIA RD, 204
BALTIMORE, MD 21237
Baltimore County (410) 687-9969
VALAPARAMBIL K. SIVAN, M.D.
Internal Medicine (Gastroenterology)
9106 PHILADELPHIA RD, SUITE 214
BALTIMORE, MD 21237
Baltimore County (410) 238-0101
DENNIS H ODIE MD PA
Internal Medicine
9106 PHILADELPHIA RD, SUITE 200
BALTIMORE, MD 21237
Baltimore County (410) 780-1980
MEDSTAR MEDICAL GROUP II LLC
General Practice
9106 PHILADELPHIA RD
BALTIMORE, MD 21237
Baltimore County (410) 238-3262
DR. JANKI KOKILEPERSAUD PHARMD
Pharmacist
9106 PHILADELPHIA RD, SUITE 100
BALTIMORE, MD 21237
Baltimore County (410) 687-8113
DENNIS ODIE
Internal Medicine
9106 PHILADELPHIA RD, SUITE 200
BALTIMORE, MD 21237
Baltimore County (410) 780-1980
BRIAN PLASIL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9106 PHILADELPHIA RD, SUITE 214
BALTIMORE, MD 21237
Baltimore County (410) 238-0101
DR. MICHAEL A. GARDYN DO
Pain Medicine (Interventional Pain Medicine)
9106 PHILADELPHIA RD, SUITE #108
BALTIMORE, MD 21237
Baltimore County (410) 682-5040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wayne Pharmacy LLC's NPI number?

The NPI number for John Wayne Pharmacy LLC is 1023178589. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as Professional Pharmacy.

Where is John Wayne Pharmacy LLC located?

John Wayne Pharmacy LLC is located at 9106 Philadelphia Rd, Baltimore, MD 21237. The listed phone number is (410) 687-8113.

What is John Wayne Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does John Wayne Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2196228) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John Wayne Pharmacy LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.