Healthcare Provider Details

I. General information

NPI: 1114088937
Provider Name (Legal Business Name): MED.ONE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SILO HILL RD
EMMITSBURG MD
21727-8702
US

IV. Provider business mailing address

101 SILO HILL RD
EMMITSBURG MD
21727-8702
US

V. Phone/Fax

Practice location:
  • Phone: 301-447-6226
  • Fax: 301-447-6104
Mailing address:
  • Phone: 301-447-6226
  • Fax: 301-447-6104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP04717
License Number StateMD

VIII. Authorized Official

Name: QAISAR FAROOQ
Title or Position: PRESIDENT
Credential:
Phone: 301-447-6226