OrganizationActive
Mattapony Care Pharmacy
NPI 1164579215 · Community/Retail Pharmacy · Bladensburg, MD
Provider details
- NPI number
- 1164579215
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Walter Rosenburg, Owner and Pres(301) 779-2500
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4919 57th Ave
Bladensburg, MD 20710-1605
Phone: (301) 779-2500
Fax: (301) 699-8219
Street-level locationGet directions
Mailing address
4919 57th Ave
Bladensburg, MD 20710-1605
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2007-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.