Mt Vernon Pharmacy At Fallsway Inc
Community/Retail Pharmacy
421 Fallsway, Baltimore
Maryland, 21202-4800
410-962-1100 410-962-1300
Mt Vernon Pharmacy At Fallsway Inc is a Community/Retail Pharmacy in Baltimore, Maryland. It is located at 421 Fallsway, Baltimore and it's customer support contact number is 410-962-1100. The authorized person of Mt Vernon Pharmacy At Fallsway Inc is Stephen Wienner who is President of the pharmacy and his contact number is 410-539-8030. Active license number of Mt Vernon Pharmacy At Fallsway Inc is P05345 for Community/Retail Pharmacy in Maryland. Mt Vernon Pharmacy At Fallsway Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mt Vernon Pharmacy At Fallsway Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Mt Vernon Pharmacy At Fallsway Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mt Vernon Pharmacy At Fallsway Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 421 Fallsway, Baltimore,
Maryland, 21202-4800 |
| Phone: | 410-962-1100 |
| Fax: | 410-962-1300 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Stephen Wienner |
| Position: | President |
| Contact Number: | 410-539-8030 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417264458 |
| NPI Enumeration Date: | 13 Sep, 2010 |
| NPI Last Update On: | 06 Mar, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mt Vernon Pharmacy At Fallsway Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P05345 | Maryland | Primary | |
| Specialty Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 03625-8100 | Medicaid | Maryland | |
| 2126651 | Other | | Pk |
Medicare Enrollment:
Mt Vernon Pharmacy At Fallsway Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3779767108 | O20110411000071 | Mt Vernon Pharmacy At Fallsway Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 3779767108 | O20130109000229 | Mt Vernon Pharmacy At Fallsway Inc | DME SUPPLIER - PHARMACY |
Products Available:
Mt Vernon Pharmacy At Fallsway Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 900 Cathedral St,
Baltimore, Maryland |
| Zip: | 21201-5311 |
| Phone Number: | 410-539-8030 |
| Fax Number: | 410-539-8115 |
Patients can reach Mt Vernon Pharmacy At Fallsway Inc at
421 Fallsway, Baltimore, Maryland or can
call on customer care at 410-962-1100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.