Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pharmacy & Pharmaceutical Services Provider

Organization Contractor · NPI 1619378890

Pharmacy & Pharmaceutical Services Provider is a Contractor in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014
Specialties on file
9
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Practice location Address checks out

13202 Steeplechase Dr
Bowie, MD 20715-4542
Phone: (301) 352-2514
Fax: (301) 805-0664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 13780 (MD)
Contractor Taxonomy 171W00000X · Licence 13780 (MD)
Specialist Taxonomy 174400000X · Licence 13780 (MD)
Research Study Specialist Taxonomy 1744R1102X · Licence 13780 (MD)
Health Educator Taxonomy 174H00000X · Licence 13780 (MD)
Pharmacist Taxonomy 183500000X · Licence 13780 (MD)
Geriatric Pharmacist Taxonomy 1835G0303X · Licence 13780 (MD)
Nutrition Support Pharmacist Taxonomy 1835N1003X · Licence 13780 (MD)
Pharmacotherapy Pharmacist Taxonomy 1835P1200X · Licence 13780 (MD)

Record details

NPI number1619378890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Felix Etebom — President,Ceo & Owner · (301) 352-2514
Other names Ppsp Llc; Ppsp Llc
NPI enumeratedSeptember 8, 2014
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address13202 Steeplechase Dr, Bowie, MD 20715-4542

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