WATERMONT PHARMACY
NPI 1114969730
Pharmacy - Community/Retail Pharmacy in Ellicott City, MD

Q: What is Watermont Pharmacy's NPI number?

The NPI number for Watermont Pharmacy is 1114969730. It was assigned to this organization in the NPPES registry on June 11, 2006.

Q: What is Watermont Pharmacy's specialty?

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

Active since June 11, 2006

4900 WATERLOO RD # A, ELLICOTT CITY, MD 21043(410) 465-0552(410) 465-0553 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Watermont Pharmacy NPPES

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

WATERMONT PHARMACY (NPI 1114969730) is a healthcare organization registered as a community/retail pharmacy in Ellicott City, Maryland and active in the NPI registry since June 2006. The organization lists Jodi Lare, Owner Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1114969730

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWATERMONT PHARMACY

Location Address4900 WATERLOO RD # AEllicott City, MD 21043-6664

Mailing Address4900 Waterloo Rd # AEllicott City, MD 21043-6664 · (410) 465-0552 · Fax (410) 465-0553

Phone(410) 465-0552

Fax(410) 465-0553

Organization SubpartNo

Authorized OfficialJodi LareOwner Pharmacist · (410) 465-0552

Enumeration DateJune 11, 2006

Last NPPES UpdateApril 22, 2011

✔ NPI 1114969730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MD · P00820

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.

Also ListedPharmacyTaxonomy 333600000X

4900 WATERLOO RD # A, Ellicott City, MD 21043

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Other Names 1

Doing Business AsWatermont Pharmacy

Other Identifiers 2

Medicaid011682300MD

Other2103896Ncpdp Provider Identification Number

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 Watermont Pharmacy's NPI number?

The NPI number for Watermont Pharmacy is 1114969730. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Watermont Pharmacy located?

Watermont Pharmacy is located at 4900 Waterloo Rd # A, Ellicott City, MD 21043. The listed phone number is (410) 465-0552.

What is Watermont Pharmacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Watermont Pharmacy was last updated on April 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.