POTOMAC PEDIATRICS SUITE 1
NPI 1134472046
Non-Pharmacy Dispensing Site in Rockville, MD
NPI Status: Active since October 17, 2012
Contact Information
15204 OMEGA DR
ROCKVILLE, MD
ZIP 20850
Phone: (301) 279-6750
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 21D2079949
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-23-2027
About POTOMAC PEDIATRICS SUITE 1
This page provides the complete NPI Profile along with additional information for Potomac Pediatrics Suite 1, a provider established in Rockville, Maryland operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1134472046 assigned on October 2012. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Potomac Pediatrics Suite 1. The authorized official of this NPI record is Caren Glassman M.d. (President)
- NPI
- 1134472046
- Provider Legal Name
- POTOMAC PEDIATRICS, P.C.
- Other Organization Name
- POTOMAC PEDIATRICS SUITE 1
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 15204 OMEGA DR ROCKVILLE, MD 20850
- Location Phone
- (301) 279-6750
- Mailing Address
- 6501 CITY WEST PKWY EDEN PRAIRIE, MN 55344
- Mailing Phone
- (952) 653-2525
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-17-2012
- Last Update Date
- 10-17-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- 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.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2079949
- Facility Type
- Physician Office
- Certificate Effective Date
- March 24, 2025
- Certificate Expiration Date
- March 23, 2027
- Laboratory Director
- AMY KAPLAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Potomac Pediatrics Suite 1 after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for POTOMAC PEDIATRICS SUITE 1
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134472046, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROCKVILLE, MD 20850
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134472046, enumerated as an "organization" on October 17, 2012.
The provider is located at 15204 OMEGA DR ROCKVILLE, MD 20850 and the phone number is (301) 279-6750.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
