| NPI | 1053404491 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-30 |
| Last Updated | 2026-04-17 |
| Authorized Official | Helen Yi PRESIDENT Phone: 3017749812 |
| Mailing Address | 18111 Prince Philip Dr, Suite 100 Olney, MD 20832-1513 United States Phone: (301) 774-9812 | Fax: (301) 774-9813 📍 View Map |
| Primary Practice Address | 18111 Prince Philip Dr Ste 100 Olney, MD 20832-1503 United States Phone: (301) 774-9812 | Fax: (301) 774-9813 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MD | 001298000 | — |
| MEDICAID | MD | 01888100 | — |
| Other (non-Medicare) | — | 2037816 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | — | — |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | — | — |
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MD | P04031 |
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About NPI 1053404491
Olney Professional Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053404491. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Olney, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053404491?
NPI 1053404491 belongs to Olney Professional Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Olney, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053404491 active?
The current status of NPI 1053404491 in the NPPES registry is Active. The record was last updated on 2026-04-17.
What specialty is NPI 1053404491?
NPI 1053404491 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053404491?
You can verify NPI 1053404491 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053404491?
The primary practice address on file for NPI 1053404491 is 18111 Prince Philip Dr Ste 100, Olney, MD 20832-1503. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053404491 issued?
NPI 1053404491 was first issued (enumerated) on 2006-09-30. The NPPES record was last updated on 2026-04-17.
Practice Location Map
Olney Professional Pharmacy Inc is located at 18111 Prince Philip Dr Ste 100, Olney, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Olney Professional Pharmacy Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053404491. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | P04031 | MD |