Organization Active NPI

Kentland Pharmacy LLC

  • Pharmacy
  • Gaithersburg, MD
National Provider Identifier
1073251997
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on May 20, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.