COLLEGE PARK PHARMACY
NPI 1902258130
Pharmacy - Community/Retail Pharmacy in College Park, MD

Q: What is Premium Pharmacy Services Inc's NPI number?

The NPI number for Premium Pharmacy Services Inc is 1902258130. It was assigned to this organization in the NPPES registry on July 12, 2016. The provider is doing business as College Park Pharmacy.

Q: What is Premium Pharmacy Services Inc's specialty?

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

Active since July 12, 2016

4701 MELBOURNE PL, COLLEGE PARK, MD 20740(301) 474-0500(301) 474-0550 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2017, Jan 13, 2017, Aug 10, 2016 and 1 more (4 updates tracked since 2016).

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About College Park Pharmacy NPPES

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

COLLEGE PARK PHARMACY (NPI 1902258130) is a healthcare organization registered as a community/retail pharmacy in College Park, Maryland and active in the NPI registry since July 2016. The organization lists Vivian Ayuk, Pharmacist/owner/ao, as its authorized official.

NPPES Registry Identity

NPI1902258130

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePREMIUM PHARMACY SERVICES INC

Location Address4701 MELBOURNE PLCollege Park, MD 20740-2540

Mailing Address4701 Melbourne PlCollege Park, MD 20740-2540 · (301) 474-0500 · Fax (301) 474-0550

Phone(301) 474-0500

Fax(301) 474-0550

Organization SubpartNo

Authorized OfficialVivian AyukPharmacist/owner/ao · (240) 223-7064

Enumeration DateJuly 12, 2016

Last NPPES UpdateApril 12, 20174 updates tracked since enumeration

✔ NPI 1902258130 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 · P07420

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

4701 MELBOURNE PL, College Park, MD 20740

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Other Names 1

Doing Business AsCollege Park Pharmacy

Other Identifiers 2

Other2162506Pk

Medicaid1159852MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

MED-PED HEALTHCARE, LLC

Preferred Provider Organization