OrganizationActive
Watermont Pharmacy
NPI 1114969730 · Community/Retail Pharmacy · Ellicott City, MD
Provider details
- NPI number
- 1114969730
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jodi Lare, Owner Pharmacist(410) 465-0552
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4900 Waterloo Rd # a
Ellicott City, MD 21043-6664
Phone: (410) 465-0552
Fax: (410) 465-0553
Street-level locationGet directions
Mailing address
4900 Waterloo Rd # a
Ellicott City, MD 21043-6664
Other names (DBA / former)
- Doing business as
- Watermont Pharmacy
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2011-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.