PPSP LLC
NPI 1619378890
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bowie, MD

Q: What is Pharmacy & Pharmaceutical Services Provider's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Active since September 08, 2014

13202 STEEPLECHASE DR, BOWIE, MD 20715(301) 352-2514(301) 805-0664 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2022, Sep 25, 2019 (2 updates tracked since 2019).

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About Ppsp Llc NPPES

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

PPSP LLC (NPI 1619378890) is a healthcare organization registered as a pharmacist clinician (phc)/ clinical pharmacy specialist in Bowie, Maryland and active in the NPI registry since September 2014. The organization lists Felix F Etebom, President,ceo & Owner, as its authorized official.

NPPES Registry Identity

NPI1619378890

Entity TypeOrganization

Primary Taxonomy1835P0018X

Legal Business NamePHARMACY & PHARMACEUTICAL SERVICES PROVIDER

Location Address13202 STEEPLECHASE DRBowie, MD 20715-4542

Mailing Address13202 Steeplechase DrBowie, MD 20715-4542 · (301) 352-2514 · Fax (301) 805-0664

Phone(301) 352-2514

Fax(301) 805-0664

Organization SubpartNo

Authorized OfficialFelix F EtebomPresident,ceo & Owner · (301) 352-2514

Enumeration DateSeptember 8, 2014

Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration

NPPES CertifiedDecember 8, 2022

✔ NPI 1619378890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in MD · 13780

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedContractorTaxonomy 171W00000X · License 13780 (MD)

Also ListedSpecialistTaxonomy 174400000X · License 13780 (MD)

Also ListedSpecialist · Research StudyTaxonomy 1744R1102X · License 13780 (MD)

Also ListedHealth EducatorTaxonomy 174H00000X · License 13780 (MD)

Also ListedPharmacistTaxonomy 183500000X · License 13780 (MD)

Also ListedPharmacist · GeriatricTaxonomy 1835G0303X · License 13780 (MD)

Also ListedPharmacist · Nutrition SupportTaxonomy 1835N1003X · License 13780 (MD)

Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License 13780 (MD)

13202 STEEPLECHASE DR, Bowie, MD 20715

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Other Names 1

Other NamePpsp Llc

Other Identifiers 1

OtherURLWww.pharmacypharmaceuticalservices.com

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

Other Providers at the Same Location NPPES

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

MR. FELIX F. ETEBOM BS BSPHARM

Pharmacist

13202 STEEPLECHASE DR
BOWIE, MD 20715

Prince George's County (301) 352-2514

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 Pharmacy & Pharmaceutical Services Provider's NPI number?

The NPI number for Pharmacy & Pharmaceutical Services Provider is 1619378890. It was assigned to this organization in the NPPES registry on September 8, 2014. The provider is also known as Ppsp LLC.

Where is Pharmacy & Pharmaceutical Services Provider located?

Pharmacy & Pharmaceutical Services Provider is located at 13202 Steeplechase Dr, Bowie, MD 20715. The listed phone number is (301) 352-2514.

What is Pharmacy & Pharmaceutical Services Provider's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Pharmacy & Pharmaceutical Services Provider was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.