Organization Active NPI

Value Drugstore Harford Rd

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1083497655
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VALUE DRUGSTORE HARFORD RD
Practice address
4226 Harford Rd
Baltimore, MD 21214
Phone
(443) 497-7777
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Anh Viet Nguyen
Title
Manager
Phone
(443) 497-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4226 Harford Rd
Baltimore, MD 21214

Mailing address

3717 Boston St # 349
Baltimore, MD 21224-5752

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212002771 MD Part B Supplier - Pharmacy 3779932074 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

2100 Aliceanna St
Baltimore, MD 21231

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1083497655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 BOSTON ST # 349",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "443-497-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE DRUGSTORE HARFORD RD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANH VIET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-497-7777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.