ST JOHNS PROGRESSIVE PHARMACY
NPI 1245397678
Pharmacy - Community/Retail Pharmacy in Hollywood, MD

Q: What is St Johns Pharmacy Inc's NPI number?

The NPI number for St Johns Pharmacy Inc is 1245397678. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as St Johns Progressive Pharmacy.

Q: What is St Johns Pharmacy Inc's specialty?

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

Active since January 03, 2007

24288 THREE NOTCH RD, HOLLYWOOD, MD 20636(301) 373-3340(301) 373-3691 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St Johns Progressive Pharmacy NPPES

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

ST JOHNS PROGRESSIVE PHARMACY (NPI 1245397678) is a healthcare organization registered as a community/retail pharmacy in Hollywood, Maryland and active in the NPI registry since January 2007. The organization lists Leo Mallard, Owner, as its authorized official.

NPPES Registry Identity

NPI1245397678

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameST JOHNS PHARMACY INC

Location Address24288 THREE NOTCH RDHollywood, MD 20636

Mailing AddressPo Box 790Hollywood, MD 20636-0790 · (301) 373-3340 · Fax (301) 373-3691

Phone(301) 373-3340

Fax(301) 373-3691

Organization SubpartNo

Authorized OfficialLeo MallardOwner · (410) 741-5150

Enumeration DateJanuary 3, 2007

Last NPPES UpdateDecember 26, 2012

✔ NPI 1245397678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MD · P01320

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

24288 THREE NOTCH RD, Hollywood, MD 20636

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Other Names 1

Doing Business AsSt Johns Progressive Pharmacy

Other Identifiers 3

Medicare NSC0501530001

Other2114421Ncpdp Provider Identification Number

Medicaid434192900MD

Other Providers at the Same Location NPPES 4

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

DR. ASHIT REBEIRO

Pharmacist

24288 THREE NOTCH RD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-3113

DR. SUZANNE MOEBIUS PHARMD

Pharmacist

24288 THREE NOTCH RD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-3113

DR. DHEERA KAPOOR SEMIDEY PHARM.D.

Pharmacist

24288 THREE NOTCH RD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-3113

RACHEL WERNER

Pharmacist

24288 THREE NOTCH RD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-3113

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 St Johns Pharmacy Inc's NPI number?

The NPI number for St Johns Pharmacy Inc is 1245397678. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as St Johns Progressive Pharmacy.

Where is St Johns Pharmacy Inc located?

St Johns Pharmacy Inc is located at 24288 Three Notch Rd, Hollywood, MD 20636. The listed phone number is (301) 373-3340.

What is St Johns Pharmacy Inc'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 St Johns Pharmacy Inc was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.