Davidsonville Pediatrics in Davidsonville - Non-pharmacy Dispensing Site
Davidsonville Pediatrics - NPI 1679657209
Davidsonville Pediatrics is a Non-pharmacy Dispensing Site in Davidsonville, Maryland. Davidsonville Pediatrics practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Davidsonville Pediatrics is 1679657209. The last update date is 2020-08-22.
Davidsonville Pediatrics's current location address is 2772 Rutland Rd, Davidsonville, Maryland. You can contact this provider via phone number 4102697828 and fax number 4102690510. The mailing address for Davidsonville Pediatrics is 2772 Rutland Rd, Davidsonville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Davidsonville Pediatrics |
|---|---|
| Address | 2772 Rutland Rd, Davidsonville, Maryland |
| Phone Number | 4102697828 |
| Fax Number | 4102690510 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Shackelford Direndia |
| Telephone Number | 8006540889 |
NPI Number Detail
| NPI Number | 1679657209 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2772 Rutland Rd |
|---|---|
| City | Davidsonville |
| State | Maryland (MD) |
| Post Code | 210351228 |
| Phone Number | 4102697828 |
| Fax Number | 4102690510 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | D0013889 |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2124410 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique identifier code issued to Davidsonville Pediatrics by the Centers for Medicare & Medicaid Services?
The Davidsonville Pediatrics has been assigned the NPI (National Provider Identifier) 1679657209. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Davidsonville Pediatrics's facilities are geographically located?
The facilities of Davidsonville Pediatrics are physically situated at the following location: 2772 Rutland Rd, Davidsonville, MD, 210351228.
What is Davidsonville Pediatrics's specialized field of practice, and what is the corresponding taxonomy classification code?
The Davidsonville Pediatrics's area of specialization is Non-pharmacy Dispensing Site, and the corresponding taxonomy code that categorizes this field of practice is 332900000X.
On what date did Davidsonville Pediatrics receive its 1679657209 assignment from the Centers for Medicare & Medicaid Services?
The Davidsonville Pediatrics was assigned its 1679657209 on 2006-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Davidsonville Pediatrics's details last updated?
The information pertaining to the Davidsonville Pediatrics, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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