NPIMap

Organization Active NPI

Llodna Incorporated

Doing business as Harlem Gardens Pharmacy

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1013933969
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04454 Issued in MD
Legal business name
LLODNA INCORPORATED
Doing business as
Harlem Gardens Pharmacy
Practice address
1700 Edmondson Ave
Baltimore, MD 21223-1212
Phone
(410) 523-5900
Fax
(410) 523-5939
NPI assigned
Jul 14, 2006
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Andoll, PHARMACISTNPI 1265634570
Title
Pharmacist
Phone
(410) 523-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P04454 MD Primary

Addresses

Primary practice location

1700 Edmondson Ave
Baltimore, MD 21223-1212

Mailing address

16 Kimberlys CT
Baltimore, MD 21244-4007
Phone (410) 523-5900

Other identifiers 2

IdentifierTypeStateIssuer
2126301OtherNCPDP PROVIDER IDENTIFICATION NUMBER
011483900MedicaidMD

Other names 1

  • HARLEM GARDENS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Garwyn Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Llodna Inc

    dba Garwyn Medical Pharmacy

    • Community/Retail Pharmacy
    • Baltimore, MD
    • NPI 1538174164
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1013933969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KIMBERLYS CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212444007",
            "telephone_number": "410-523-5900",
            "fax_number": "410-523-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231212",
            "telephone_number": "410-523-5900",
            "fax_number": "410-523-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLODNA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "ANDOLL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-523-5900",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2126301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011483900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARLEM GARDENS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.