Medspack MD LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PW0344 Issued in MD

Legal business name

MEDSPACK MD LLC

Practice address

1300 Piccard Dr
LL-16
Rockville, MD 20850-4303

Phone

(301) 216-1190

NPI assigned

Jan 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Pramod Arikeri

Title

President

Phone

(301) 216-1190

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kevin C Campbell, MD

  • Emergency Medicine Physician
  • Arlington, VA
  • NPI 1104894815
  NPD (past)

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1063717015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PICCARD DR",
            "address_2": "LL-16",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504303",
            "telephone_number": "301-216-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PICCARD DR",
            "address_2": "LL-16",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504303",
            "telephone_number": "301-216-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSPACK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "ARIKERI",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-216-1190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R4156",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RSA DME PERMIT",
            "identifier": "R4156",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medpsych Health Services LLC
• Medpsych Health Services LLC
• Sandra Medrano Castro
• Karen Medrano
• Katherine Medrano
• Medspack MD LLC
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Medstar Urgent Care LLC

• Long Term Care Pharmacy in Rockville, MD
• Providers in Rockville, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.