Organization Active NPI

Laboratoryrx of Maryland, LLC

  • Compounding Pharmacy
  • Timonium, MD
National Provider Identifier
1093128522
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
LABORATORYRX OF MARYLAND, LLC
Practice address
9538 Deereco Rd
Timonium, MD 21093-2119
Phone
(410) 916-3070
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Mr. Michael Beatty
Title
Member
Phone
(410) 916-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

9538 Deereco Rd
Timonium, MD 21093-2119

Mailing address

60 W Terra Cotta Ave Ste B
Ste 265
Crystal Lake, IL 60014-3548
Phone (410) 916-3070

National Provider Directory

National Provider Directory

Locations

9538 Deereco Rd
Timonium, MD 21093
Phone (410) 916-3070

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1093128522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W TERRA COTTA AVE STE B",
            "address_2": "STE 265",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143548",
            "telephone_number": "410-916-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9538 DEERECO RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932119",
            "telephone_number": "410-916-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORYRX OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-916-3070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.