NPIMap

Organization Active NPI

Pathashala100 LLC

  • Community/Retail Pharmacy
  • Waldorf, MD
National Provider Identifier
1023955820
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PATHASHALA100 LLC
Practice address
30 High St
Waldorf, MD 20602-1846
Phone
(240) 448-3301
Fax
(240) 448-3302
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Manishkumar Patel, PHARMACY TECHNICIAN
Title
Owner
Phone
(248) 495-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

30 High St
Waldorf, MD 20602-1846

Mailing address

30 High St
Waldorf, MD 20602-1846
Phone (240) 448-3301

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1023955820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HIGH ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021846",
            "telephone_number": "240-448-3301",
            "fax_number": "240-448-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HIGH ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021846",
            "telephone_number": "240-448-3301",
            "fax_number": "240-448-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHASHALA100 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISHKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-495-5705",
        "authorized_official_credential": "PHARMACY TECHNICIAN"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.