POTOMAC PEDIATRICS, SUITE 9
NPI 1073865093
Non-Pharmacy Dispensing Site in Rockville, MD

Active since October 15, 2012
15204 OMEGA DR, ROCKVILLE, MD 20850(301) 279-6750 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Potomac Pediatrics, Suite 9 NPPES

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

POTOMAC PEDIATRICS, SUITE 9 (NPI 1073865093) 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 lists Caron Glassman, President, as its authorized official.

NPPES Registry Identity

NPI1073865093
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
Organization SubpartYes
Authorized OfficialCaron GlassmanPresident · (301) 279-6750
Enumeration DateOctober 15, 2012
NPI 1073865093 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

Other Names 1

Other NamePotomac Pediatrics, Suite 9

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.

Dentist (General Practice)
15204 OMEGA DR, SUITE 140
ROCKVILLE, MD 20850
Dentist (General Practice)
15204 OMEGA DR, SUITE 140
ROCKVILLE, MD 20850
Non-Pharmacy Dispensing Site
15204 OMEGA DR
ROCKVILLE, MD 20850
Non-Pharmacy Dispensing Site
15204 OMEGA DR
ROCKVILLE, MD 20850
Non-Pharmacy Dispensing Site
15204 OMEGA DR
ROCKVILLE, MD 20850
Non-Pharmacy Dispensing Site
15204 OMEGA DR
ROCKVILLE, MD 20850
Non-Pharmacy Dispensing Site
15204 OMEGA DR
ROCKVILLE, MD 20850
Non-Pharmacy Dispensing Site
15204 OMEGA DR
ROCKVILLE, MD 20850

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 Potomac Pediatrics, P.C.'s NPI number?

The NPI number for Potomac Pediatrics, P.C. is 1073865093. It was assigned to this organization in the NPPES registry on October 15, 2012. The provider is also known as Potomac Pediatrics, Suite 9.

Where is Potomac Pediatrics, P.C. located?

Potomac Pediatrics, P.C. is located at 15204 Omega Dr, Rockville, MD 20850. The listed phone number is (301) 279-6750.

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

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

When was this NPI record last updated?

The NPPES record for Potomac Pediatrics, P.C. was last updated on October 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.