MINUTECLINIC LLC
NPI 1134930498
Nurse Practitioner - Family in Crofton, MD

NPI Status: Active since January 16, 2025

Contact Information

2003 DAVIDSONVILLE RD
CROFTON, MD
ZIP 21114
Phone: (866) 389-2727

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 21D1076951
  • CLIA Cert. Type: Other - LIM SVC HLTH CARE CLINIC
  • CLIA Exp. Date: 11-27-2025

About MINUTECLINIC LLC

This page provides the complete NPI Profile along with additional information for Minuteclinic Llc, a provider established in Crofton, Maryland operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1134930498 assigned on January 2025. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Minuteclinic Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Deborah Pincince (Administrator)

NPI
1134930498
Provider Name
MINUTECLINIC LLC
Entity Type
Organization
Location Address
2003 DAVIDSONVILLE RD CROFTON, MD 21114
Location Phone
(866) 389-2727
Mailing Address
PO BOX 772 WOONSOCKET, RI 02895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2025
Last Update Date
01-16-2025
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A nurse practitioner (NP) like Minuteclinic Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH PINCINCE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(401) 636-6620

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D1076951
Facility Type
Other - LIM SVC HLTH CARE CLINIC
Certificate Effective Date
November 28, 2023
Certificate Expiration Date
November 27, 2025
Laboratory Director
MINOKA MCPHERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Minuteclinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MINUTECLINIC LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134930498
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641830418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 8 + 3 + 0 + 4 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1134930498 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154420503MARYLAND CVS PHARMACY, L.L.C.
Organization
Pharmacy2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1770992687 DAI NGUYEN I PHARM D
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1194124057 KAREN SNYDER
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-4783
1497154157 ARIANA SCHETTINO
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1326447004 NANA CHOI
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1306245931DR. ALEXANDER WOODY PHARM.D.
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1558761809 PHILIP OWUSU
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1710380134 JENNIFER KEITH
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1659701522 EVELYN OMOREGBEE
Individual
Nurse Practitioner (Family)2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(301) 335-3941
1639423908 PEI-YU WANG
Individual
Nurse Practitioner (Family)2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1184267791 CATHRINE R YEAGER FNP-C
Individual
Nurse Practitioner (Family)2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1659988905DR. VINCENT A OJO PHARMD
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1659960698 VIRGINIA MEEHAN
Individual
Registered Nurse2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1770169393 AMBER KAUR CHEEMA
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1255086609 SILVAR EDDIA
Individual
Pharmacist2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1164052262 NKECHI ONWUEMENE
Individual
Nurse Practitioner (Family)2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1760112957 DANICA AGUILAR FNP-BC
Individual
Nurse Practitioner (Family)2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1821674078 TRACY MUTHAMIA
Individual
Nurse Practitioner (Family)2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762
1104324219 CATHLINE CARLA ETIENNE NP
Individual
Nurse Practitioner (Family)2003 DAVIDSONVILLE RD
CROFTON, MD 21114
(410) 721-3762

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134930498, enumerated in the NPI registry as an "organization" on January 16, 2025

The provider is located at 2003 Davidsonville Rd Crofton, Md 21114 and the phone number is (866) 389-2727

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 21D1076951 for a "other - lim svc hlth care clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 16, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.