MEDICARE: ST MARY HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1124983861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST MARY HEALTH LLC

Provider Business Mailing Address
First Line	:	30170 THREE NOTCH RD UNIT B
Second Line	:
City	:	CHARLOTTE HALL
State	:	MD
Zip	:	20622-4119
Country	:	US
Telephone Number	:	201-744-0481
Fax Number	:	240-448-3301

Provider Business Practice Location Address
First Line	:	30170 THREE NOTCH RD UNIT B
Second Line	:
City	:	CHARLOTTE HALL
State	:	MD
Zip	:	20622-4119
Country	:	US
Telephone Number	:	201-744-0481
Fax Number	:	240-448-3301

Authorized Official
Title or Position	:	PARTNER
Name	:	DIPEN PATEL
Credential	:	PHARMACIST
Telephone Number	:	201-744-0481

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

Similar Medicare Providers

1568327203 — ST MARY HEALTH LLC
Practice Location Address:

30170 THREE NOTCH RD UNIT B
CHARLOTTE HALL, MD
20622-4119

Practice Phone: 201-744-0481
Practice Fax: 240-448-3301

1730720624 — TIDEWATER DRUG AND HEALTH CARE
Practice Location Address:

30170 THREE NOTCH RD UNIT B
CHARLOTTE HALL, MD
20622-4119

Practice Phone: 301-472-1720
Practice Fax: 301-472-1719

1942074950 — CENTERWELL SENIOR PRIMARY CARE NC JV PC
Practice Location Address:

5415 SOUTH BLVD
CHARLOTTE, NC
28217-4119

Practice Phone: 704-869-0321
Practice Fax: 877-977-5366

1891021820 — LINDSEY WEEKLEY BA
Practice Location Address:

10199 NORWOOD CT
CHARLOTTE HALL, MD
20622-3637

Practice Phone: 240-299-4488
Practice Fax:

1497618169 — METROPOLITAN VASCULAR INSTITUTE LLC
Practice Location Address:

37767 MARKET DR
CHARLOTTE HALL, MD
20622-3188

Practice Phone: 301-374-8540
Practice Fax: 301-374-8541

1619973773 — MR. CHARLES C REEL M.D.
Practice Location Address:

30065 BUSINESS CENTER DRIVE , UNIT 3
CHARLOTTE HALL, MD
20622

Practice Phone: 301-290-0395
Practice Fax: 301-290-0396

Directions to “ST MARY HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.