Healthcare Provider Details

I. General information

NPI: 1437297009
Provider Name (Legal Business Name): MED.ONE PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 WATER ST
THURMONT MD
21788-1912
US

IV. Provider business mailing address

58 WATER ST
THURMONT MD
21788-1912
US

V. Phone/Fax

Practice location:
  • Phone: 301-271-2223
  • Fax: 301-271-3008
Mailing address:
  • Phone: 301-271-2223
  • Fax: 301-271-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPO4716
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPO4716
License Number StateMD

VIII. Authorized Official

Name: QAISAR FAROOQ
Title or Position: PRESIDENT
Credential:
Phone: 301-271-2223