PARADIGM PHARMACY LLC NPI 1770520017

Pharmacist in Millersville, MD

Organization Pharmacist

About PARADIGM PHARMACY LLC

Paradigm Pharmacy Llc is a provider established in Millersville, Maryland specializing in pharmacist. The NPI number of Paradigm Pharmacy Llc is 1770520017 and was assigned on June 2006. The practitioner's primary taxonomy code is 183500000X with license number PW0212 (MD). The provider is registered as an organization and their NPI record was last updated 13 years ago. Paradigm Pharmacy Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Leon Jay Vandenberg Rph (President)

NPI

1770520017

Provider NamePARADIGM PHARMACY LLC
Provider Location Address408 HEADQUARTERS DR SUITE 5 MILLERSVILLE, MD 21108
Provider Mailing Address408 HEADQUARTERS DR SUITE 5 MILLERSVILLE, MD 21108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-02-2006
Last Update Date12-04-2007

Primary Taxonomy

Taxonomy Code183500000X
ClassificationPharmacist
TypePharmacy Service Providers
License No.PW0212
License StateMD
Taxonomy DescriptionAn individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Business Address

PARADIGM PHARMACY LLC
408 HEADQUARTERS DR
SUITE 5
MILLERSVILLE, MD
ZIP 21108
Phone: (410) 729-2131
Fax: (410) 729-1118

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Mailing Address

PARADIGM PHARMACY LLC
408 HEADQUARTERS DR
SUITE 5
MILLERSVILLE, MD
ZIP 21108
Phone: (410) 729-2131
Fax: (410) 729-1118

Authorized Official

Authorized Official NameMR. LEON JAY VANDENBERG RPH
Authorized Official TitlePRESIDENT
Authorized Official Phone(410) 729-2131

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
MK48OTHER (01)MD
F869OTHER (01)MD
4437780001MEDICARE ID-TYPE UNSPECIFIED (04)MD

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003001231D & J HOME CARE
Organization
Home Health408 HEADQUARTERS DR SUITE 3-G
MILLERSVILLE, MD 21108
(410) 729-8404

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.