OrganizationActive
Ultima, LLC
NPI 1679297931 · Mail Order Pharmacy · Columbia, MD
Provider details
- NPI number
- 1679297931
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Organization subpart
- No
- Authorized official
- K.c. Gleaton, Manager(973) 510-2100
Specialties & taxonomies
Suppliers
- Supports Brokerage Agency251X00000X
Agencies
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
10320 Little Patuxent Pkwy Ste 200
Columbia, MD 21044-3344
Phone: (973) 510-2100
Approximate (ZIP-level) locationGet directions
Mailing address
2851 Jessup Rd Unit 932
Jessup, MD 20794-7545
Other names (DBA / former)
- Doing business as
- Ultimamedical
- Doing business as
- Ultimamedical
Registry dates
- Enumerated
- 2022-09-30
- Last updated
- 2022-11-21
- Certified
- 2022-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.