Active NPI
Kentland Pharmacy LLC
- Pharmacy
- Gaithersburg, MD
National Provider Identifier
1073251997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- KENTLAND PHARMACY LLC
- Practice address
- 375 Main St
Gaithersburg, MD 20878-5539 - Phone
- (301) 221-1165
- NPI assigned
- May 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kehuang Weng
- Title
- Cfo
- Phone
- (301) 221-1165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
375 Main St
Gaithersburg, MD 20878-5539
Mailing address
375 Main St
Gaithersburg, MD 20878-5539
National Provider Directory
National Provider DirectoryLocations
375 Main St
Gaithersburg, MD 20878
Phone (301) 221-1165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1073251997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 MAIN ST",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 MAIN ST",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785539",
"telephone_number": "301-221-1165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENTLAND PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "WENG",
"authorized_official_first_name": "KEHUANG",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "301-221-1165"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.