WESTERN MARYLAND HEALTH CARE CORPORATION
NPI 1083415947
Pharmacy - Community/Retail Pharmacy in Grantsville, MD

Q: What is Western Maryland Health Care Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since March 24, 2025CLIA 21D1056602 · Waiver

28 HERSHBERGER LN, GRANTSVILLE, MD 21536(301) 895-5107(833) 448-0359 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2026, Sep 3, 2025, Mar 24, 2025 (3 updates tracked since 2025).

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About Western Maryland Health Care Corporation NPPES

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

WESTERN MARYLAND HEALTH CARE CORPORATION (NPI 1083415947), doing business as Mountain Laurel Community Pharmacy At Grantsville, is a healthcare organization registered as a community/retail pharmacy in Grantsville, Maryland and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists James Mou, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083415947

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWESTERN MARYLAND HEALTH CARE CORPORATION

Location Address28 HERSHBERGER LNGrantsville, MD 21536-1172

Mailing Address28 Hershberger LnGrantsville, MD 21536-1172 · (301) 901-3749 · Fax (301) 786-0511

Phone(301) 895-5107

Fax(833) 448-0359

Organization SubpartNo

Authorized OfficialJames MouCfo · (301) 533-3300

Enumeration DateMarch 24, 2025

Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2026

✔ NPI 1083415947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

28 HERSHBERGER LN, Grantsville, MD 21536

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Other Names 1

Doing Business AsMountain Laurel Community Pharmacy At Grantsville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, SummaCare.Insurance ›

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 21D1056602

Western Maryland Healthcare Corporation Dba Mounta · Oakland, MD

Active · expires May 17, 2027

CLIA Number21D1056602

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 18, 2025

Certificate Expiration DateMay 17, 2027

Laboratory DirectorSarah M. Call

Laboratory Phone(301) 533-3300

Laboratory LocationWestern Maryland Healthcare Corporation Dba Mounta1027 Memorial Drive, Oakland, MD 21550

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. JONATHAN J MILLER M.D.

Family Medicine