Organization Active NPI

Federalsburg Pharmacy LLC

Doing business as Cantner's Drug Store

  • Community/Retail Pharmacy
  • Federalsburg, MD
National Provider Identifier
1043318074
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05903 Issued in MD
Legal business name
FEDERALSBURG PHARMACY LLC
Doing business as
Cantner's Drug Store
Practice address
323 Bloomingdale Ave
Federalsburg, MD 21632-1727
Phone
(410) 754-5200
Fax
(410) 754-8255
NPI assigned
Sep 21, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Shalendra Cherukuri
Title
Member
Phone
(410) 754-5200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P05903 MD Primary

Addresses

Primary practice location

323 Bloomingdale Ave
Federalsburg, MD 21632-1727

Mailing address

323 Bloomingdale Avenue
Federalsburg, MD 21632
Phone (410) 754-5200

Other identifiers 2

IdentifierTypeStateIssuer
334524600MedicaidMD
2139041OtherPK

Other names 1

  • Cantner's Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181121000722 MD Part B Supplier - Mass Immunization (Roster Biller Only) 2961756309 Practice locations: Federalsburg, MD

National Provider Directory

National Provider Directory

Locations

323 Bloomingdale Ave
Federalsburg, MD 21632
Phone (410) 754-5200

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1043318074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BLOOMINGDALE AVENUE",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "21632",
            "telephone_number": "410-754-5200",
            "fax_number": "410-754-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BLOOMINGDALE AVE",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216321727",
            "telephone_number": "410-754-5200",
            "fax_number": "410-754-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERALSBURG PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "CHERUKURI",
        "authorized_official_first_name": "SHALENDRA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-754-5200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334524600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cantner's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federalsburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.