UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1083455505
Pharmacist in Glen Burnie, MD

Active since June 06, 2024CLIA 21D1063535 · Waiver
203 HOSPITAL DR STE 200, GLEN BURNIE, MD 21061(410) 553-8362(410) 761-1587 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About University Of Maryland Community Medical Group, Inc. NPPES

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

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC. (NPI 1083455505) is a healthcare organization registered as a pharmacist in Glen Burnie, Maryland and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1083455505
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address203 HOSPITAL DR STE 200Glen Burnie, MD 21061-6905
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924 · (443) 462-5010
Fax(410) 761-1587
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateJune 6, 2024
NPPES CertifiedJune 6, 2024
NPI 1083455505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
203 HOSPITAL DR STE 200, Glen Burnie, MD 21061

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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 21D1063535

University Of MD Community Medical Group · Glen Burnie, MD
Active · expires Feb 28, 2028
CLIA Number21D1063535
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorDr. Donna M. Eversley
Laboratory Phone(410) 553-8362
Laboratory LocationUniversity Of MD Community Medical Group203 Hospital Drive #200, Glen Burnie, MD 21061
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 7

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

Nurse Practitioner (Psychiatric/Mental Health)
203 HOSPITAL DR STE 200
GLEN BURNIE, MD 21061
Psychiatry & Neurology (Neurology)
203 HOSPITAL DR STE 200
GLEN BURNIE, MD 21061
Psychiatry & Neurology (Neurology)
203 HOSPITAL DR STE 200
GLEN BURNIE, MD 21061
Family Medicine
203 HOSPITAL DR STE 200
GLEN BURNIE, MD 21061
Family Medicine
203 HOSPITAL DR STE 200
GLEN BURNIE, MD 21061
Family Medicine
203 HOSPITAL DR STE 200
GLEN BURNIE, MD 21061
Family Medicine
203 HOSPITAL DR STE 200
GLEN BURNIE, MD 21061

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 University Of Maryland Community Medical Group, Inc.'s NPI number?

The NPI number for University Of Maryland Community Medical Group, Inc. is 1083455505. It was assigned to this organization in the NPPES registry on June 6, 2024.

Where is University Of Maryland Community Medical Group, Inc. located?

University Of Maryland Community Medical Group, Inc. is located at 203 Hospital Dr Ste 200, Glen Burnie, MD 21061. The listed phone number is (410) 553-8362.

What is University Of Maryland Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does University Of Maryland Community Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1063535) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Maryland Community Medical Group, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Maryland Community Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.