POTOMAC PEDIATRICS, SUITE 4
NPI 1023361839
Non-Pharmacy Dispensing Site in Rockville, MD

Q: What is Potomac Pediatrics, P.C.'s NPI number?

The NPI number for Potomac Pediatrics, P.C. is 1023361839. It was assigned to this organization in the NPPES registry on October 17, 2012. The provider is also known as Potomac Pediatrics, Suite 4.

Q: What is Potomac Pediatrics, P.C.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since October 17, 2012CLIA 21D2079949 · Certificate of Compliance

15204 OMEGA DR, ROCKVILLE, MD 20850(301) 279-6750 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Potomac Pediatrics, Suite 4 NPPES

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

POTOMAC PEDIATRICS, SUITE 4 (NPI 1023361839) is a healthcare organization registered as a non-pharmacy dispensing site in Rockville, Maryland and active in the NPI registry since October 2012. The organization holds a CLIA Certificate of Compliance certificate valid through March 23, 2027 and lists Caron Glassman, President, as its authorized official.

NPPES Registry Identity

NPI1023361839

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NamePOTOMAC PEDIATRICS, P.C.

Location Address15204 OMEGA DRRockville, MD 20850-4601

Mailing Address6501 City West PkwyEden Prairie, MN 55344-3248 · (952) 653-2525

Phone(301) 279-6750

Organization SubpartYes

Authorized OfficialCaron GlassmanPresident · (301) 279-6750

Enumeration DateOctober 17, 2012

✔ NPI 1023361839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

15204 OMEGA DR, Rockville, MD 20850

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Other Names 1

Other NamePotomac Pediatrics, Suite 4

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 Compliance 21D2079949

Potomac Pediatrics · Rockville, MD

Active · expires Mar 23, 2027

CLIA Number21D2079949

Laboratory TypePhysician Office

Certificate Effective DateMarch 24, 2025

Certificate Expiration DateMarch 23, 2027

Laboratory DirectorAmy Kaplan

Laboratory Phone(301) 279-6750

Laboratory LocationPotomac Pediatrics15204 Omega Dr Ste 100, Rockville, MD 20850

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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. SHOBA A. DANEY D.M.D

Dentist (General Practice)

15204 OMEGA DR, SUITE 140
ROCKVILLE, MD 20850

Montgomery County (301) 869-7733

CARE SOFT DENTAL, LLC

Dentist (General Practice)

15204 OMEGA DR, SUITE 140
ROCKVILLE, MD 20850

Montgomery County (301) 869-7733

POTOMAC PEDIATRICS, P.C.

Non-Pharmacy Dispensing Site