PHARMACY & PHARMACEUTICAL SERVICES PROVIDER NPI 1619378890

NPI Information

NPI: 1619378890
Provider Name: PHARMACY & PHARMACEUTICAL SERVICES PROVIDER

Other Name: PPSP LLC

Classification: Pharmacist - 1835P0018X
Entity Type: Organization

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
13202 STEEPLECHASE DR
BOWIE, MD
ZIP 20715
Phone: (301) 352-2514
Get Directions

PHARMACY & PHARMACEUTICAL SERVICES PROVIDER is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Bowie, MD. The provider is 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. PHARMACY & PHARMACEUTICAL SERVICES PROVIDER NPI is 1619378890. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ppsp Llc.

The provider's business location address is:

13202 STEEPLECHASE DR
BOWIE, MD
ZIP 20715-542
Phone: (301) 352-2514
Fax: (301) 805-0664

The provider's authorized official is Felix F Etebom .
The authorized official title is President,ceo & Owner and has the following contact phone number (301) 352-2514.

The enumeration date for this NPI number is 9/8/2014 and was last updated on 12/8/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor		13780	MARYLAND	No
2	174400000X	Specialist		13780	MARYLAND	No
3	1744R1102X	Specialist	Research Study	13780	MARYLAND	No
4	174H00000X	Health Educator		13780	MARYLAND	No
5	183500000X	Pharmacist		13780	MARYLAND	No
6	1835G0303X	Pharmacist	Geriatric	13780	MARYLAND	No
7	1835N1003X	Pharmacist	Nutrition Support	13780	MARYLAND	No
8	1835P1200X	Pharmacist	Pharmacotherapy	13780	MARYLAND	No
9	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	13780	MARYLAND	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	URL	OTHER		WWW.PHARMACYPHARMACEUTICALSERVICES.COM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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