BROADNECK PHARMACY
NPI 1629010483
Pharmacy - Community/Retail Pharmacy in Arnold, MD

Active since June 12, 2006CLIA 21D2190727 · Waiver
269 PENINSULA FARM RD, ARNOLD, MD 21012(410) 544-3733(410) 544-4055 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broadneck Pharmacy NPPES

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

BROADNECK PHARMACY (NPI 1629010483) is a healthcare organization registered as a community/retail pharmacy in Arnold, Maryland and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Marcus Lachapelle, President, as its authorized official.

NPPES Registry Identity

NPI1629010483
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROADNECK PHARMACY INC
Location Address269 PENINSULA FARM RDArnold, MD 21012-1013
Mailing Address269 Peninsula Farm RdArnold, MD 21012-1013 · (410) 544-3733 · Fax (410) 544-4055
Fax(410) 544-4055
Organization SubpartNo
Authorized OfficialMarcus LachapellePresident · (410) 544-3733
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 14, 2017
NPI 1629010483 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 · P05349
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
269 PENINSULA FARM RD, Arnold, MD 21012

Other Names 1

Doing Business AsBroadneck Pharmacy

Other Identifiers 3

Medicaid367582300MD
Medicare NSC0182490001
Other2125474Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2190727

Broadneck Pharmacy · Arnold, MD
Active · expires Aug 18, 2026
CLIA Number21D2190727
Laboratory TypePharmacy
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorMarcus J. Lachepelle
Laboratory Phone(410) 544-3733
Laboratory LocationBroadneck Pharmacy269 Peninsula Farm Rd, Arnold, MD 21012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
288 services287 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
251 services251 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
56 services56 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
56 services56 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients

Other Providers at the Same Location NPPES 7

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

Pediatrics
269 PENINSULA FARM RD, SUITE F
ARNOLD, MD 21012
Pharmacist
269 PENINSULA FARM RD, SUITE 1E
ARNOLD, MD 21012
Dental Hygienist
269 PENINSULA FARM RD
ARNOLD, MD 21012
Pharmacist
269 PENINSULA FARM RD
ARNOLD, MD 21012
Family Medicine
269 PENINSULA FARM RD, SUITE F
ARNOLD, MD 21012
Clinic/Center (Medical Specialty)
269 PENINSULA FARM RD, SUITE F
ARNOLD, MD 21012
Family Medicine
269 PENINSULA FARM RD
ARNOLD, MD 21012

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 Broadneck Pharmacy Inc's NPI number?

The NPI number for Broadneck Pharmacy Inc is 1629010483. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Broadneck Pharmacy.

Where is Broadneck Pharmacy Inc located?

Broadneck Pharmacy Inc is located at 269 Peninsula Farm Rd, Arnold, MD 21012. The listed phone number is (410) 544-3733.

What is Broadneck Pharmacy Inc's specialty?

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

Does Broadneck Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2190727) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Broadneck Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Broadneck Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadneck Pharmacy Inc was last updated on February 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.