POPLAR GROVE PHARMACY, INC
NPI 1306117916
Pharmacy - Community/Retail Pharmacy in Baltimore, MD

Active since January 13, 2012
709 POPLAR GROVE ST, BALTIMORE, MD 21216(410) 945-5555(410) 945-5590 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, May 24, 2018 and 1 more (4 updates tracked since 2015).

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About POPLAR GROVE PHARMACY, INC

This page provides the complete NPI Profile along with additional information for Poplar Grove Pharmacy, Inc, a provider established in Baltimore, Maryland operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1306117916 assigned on January 2012. The practitioner's primary taxonomy code is 3336C0003X with license number P05639 (MD). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Susan Nwoga (Pharmacy Manager)

NPI
1306117916 Verify this NPI
Provider Name
POPLAR GROVE PHARMACY, INC
Other Name Type
(6)
Entity Type
Organization
Location Address
709 POPLAR GROVE ST BALTIMORE, MD 21216
Location Phone
(410) 945-5555
Location Fax
(410) 945-5590
Mailing Address
14908 MEANDERWOOD LN BURTONSVILLE, MD 20866
Mailing Phone
(240) 646-4818
Mailing Fax
(410) 945-5590
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2012
Last Update Date
09-19-2025
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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

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
P05639
License State
MD
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN NWOGA

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(443) 955-3081

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
115209200MEDICAID (05)MD 
2134376OTHER (01)PK

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306117916, enumerated as an "organization" on January 13, 2012.

The provider is located at 709 POPLAR GROVE ST BALTIMORE, MD 21216 and the phone number is (410) 945-5555.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.