Pharmacy & Pharmaceutical Services Provider
NPI 1619378890 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Bowie, MD
Pharmacy & Pharmaceutical Services Provider is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist organization in Bowie, MD (NPI 1619378890).
Provider details
- NPI number
- 1619378890
- Entity type
- Organization
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Felix Etebom, President,ceo & Owner(301) 352-2514
- License
- 13780 (MD)
Specialties & taxonomies
Pharmacy Service Providers
Other Service Providers
Other Service Providers
Other Service Providers
Other Service Providers
Pharmacy Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Other name
- Ppsp LLC
- Other name
- Ppsp LLC
Registry dates
- Enumerated
- 2014-09-08
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Frequently asked questions
- What is Pharmacy & Pharmaceutical Services Provider's NPI number?
- Pharmacy & Pharmaceutical Services Provider's National Provider Identifier (NPI) is 1619378890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pharmacy & Pharmaceutical Services Provider?
- Pharmacy & Pharmaceutical Services Provider is classified in the NPPES registry as Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Pharmacy Service Providers).
- Where is Pharmacy & Pharmaceutical Services Provider located?
- Pharmacy & Pharmaceutical Services Provider's practice location on file with NPPES is 13202 Steeplechase Dr, Bowie, MD 20715-4542.
- What is Pharmacy & Pharmaceutical Services Provider's phone number?
- The practice phone number listed in the NPPES registry for Pharmacy & Pharmaceutical Services Provider is (301) 352-2514.
- Who is the authorized official for Pharmacy & Pharmaceutical Services Provider?
- The authorized official listed on Pharmacy & Pharmaceutical Services Provider's NPPES record is Felix Etebom, President,ceo & Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pharmacy & Pharmaceutical Services Provider's NPI active?
- Yes — Pharmacy & Pharmaceutical Services Provider's NPI (1619378890) is active in the NPPES registry as of the last update on 2022-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.