Provider Demographics
NPI:1679671267
Name:DRUGSMART , INC
Entity Type:Organization
Organization Name:DRUGSMART , INC
Other - Org Name:THE MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-323-1515
Mailing Address - Street 1:1724 E NORTHERN PKWY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2104
Mailing Address - Country:US
Mailing Address - Phone:410-433-9434
Mailing Address - Fax:410-433-9436
Practice Address - Street 1:517 E BELVEDERE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3745
Practice Address - Country:US
Practice Address - Phone:410-433-9434
Practice Address - Fax:410-433-9436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP009153336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4060555 00Medicaid
MD2111855OtherNCPDP #
MD2111855OtherNCPDP #
MDBD7154278OtherDEA #
MD2111855OtherNCPDP #