JARRETTSVILLE PHARMACY INC NPI 1215015722

NPI Details

JARRETTSVILLE PHARMACY INC is a community/retail pharmacy pharmacy in Jarrettsville, MD. The provider is 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. JARRETTSVILLE PHARMACY INC NPI is 1215015722. The provider is registered as an organization entity type.
The provider Is Doing Business As Jarrettsville Pharmacy.

The provider's business location address is:

3714 NORRISVILLE RD
JARRETTSVILLE, MD
ZIP 21084-419
Phone: (410) 557-7717
Fax: (410) 557-4336

The provider's authorized official is Mark Lapouraille .
The authorized official title is President and has the following contact phone number (410) 557-7717.

The CLIA number assigned to this NPI record is 21D2184539 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.