S & R Reisterstown LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

S & R REISTERSTOWN LLC

Practice address

40 Main Street
Reisterstown, MD 21136

Phone

(410) 833-9844

Fax

(410) 833-9845

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Syam K Potluri, R. PH

Title

Managing Member

Phone

(443) 823-3350

Specialties & licenses 1

Addresses

Other names 1

• NATURECARE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Jane Sanderoff, R.PH.

  • Pharmacist
  • Reisterstown, MD
  • NPI 1942586037
  NPD (past)

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1043596513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HUNTFIELD CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171506",
            "telephone_number": "410-833-9844",
            "fax_number": "410-833-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN STREET",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21136",
            "telephone_number": "410-833-9844",
            "fax_number": "410-833-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & R REISTERSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "POTLURI",
        "authorized_official_first_name": "SYAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "443-823-3350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATURECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Royal Gem Paradise LLC
• Kathryn Neuman Rudo
• Greer Bennett Russell, LCPC
• James Michael Russo
• Nicole Jennifer Ryan, PSY.D
• Adelia Sabintsev, PSY.D.
• Safe Harbor Christian Counseling
• Lisa Jane Sanderoff, R.PH.
• Chantel Nicole Sanford, D.P.M.
• Akindele Sangodeyi

• Pharmacy in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.