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EMPIRE PROFESSIONAL PHARMACY NPI 1902334113


NPI Information

NPI: 1902334113
Provider Name: EMPIRE PROFESSIONAL PHARMACY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 21D2185750

Address:
200 HOSPITAL DRIVE
SUITE 107
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 787-0030
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EMPIRE PROFESSIONAL PHARMACY is a durable medical equipment medical supplies in Glen Burnie, MD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EMPIRE PROFESSIONAL PHARMACY NPI is 1902334113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 HOSPITAL DRIVE
SUITE 107
GLEN BURNIE, MD
ZIP 21061-884
Phone: (410) 787-0030
Fax: (410) 787-0033

The provider's authorized official is Neil Patrick Mcgarvey .
The authorized official title is Owner/pharmacist and has the following contact phone number (410) 787-0030.

The CLIA number assigned to this NPI record is 21D2185750 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2017 and was last updated on 6/1/2017.


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
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyP00948MARYLANDNo
2332B00000XDurable Medical Equipment & Medical SuppliesP00948MARYLANDYes

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
1Q4510001OTHERMARYLANDBLUE CROSS BLUE SHIELD
2419578700MEDICAIDMARYLAND

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

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