=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639026131
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARECOMPASS PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2026
-----------------------------------------------------
Last Update Date | 03/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11701 ROBY AVE
-----------------------------------------------------
City | BELTSVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20705-1509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-460-4470
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11701 ROBY AVE
-----------------------------------------------------
City | BELTSVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20705-1509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-460-4470
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACY MANAGER
-----------------------------------------------------
Name | UGOCHUKWU AHUBELEM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 240-460-4470
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------