NPIMap

Organization Active NPI

Om Virissar Pharmacy, Inc

  • Pharmacy
  • Elkridge, MD
National Provider Identifier
1104627504
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
OM VIRISSAR PHARMACY, INC
Practice address
8186 Lark Brown Rd Ste 101
Elkridge, MD 21075-6437
Phone
(443) 620-9990
NPI assigned
Mar 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Dr. Emmanuel Nde, PHARMD
Title
Manager
Phone
(571) 365-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

8186 Lark Brown Rd Ste 101
Elkridge, MD 21075-6437

Mailing address

8186 Lark Brown Rd Ste 101
Elkridge, MD 21075-6437
Phone (443) 620-9990

Other names 1

  • TRINITY PHARMACY AND MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

8186 Lark Brown Rd
Ste 101
Elkridge, MD 21075
Phone (443) 620-9990

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1104627504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8186 LARK BROWN RD STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756437",
            "telephone_number": "443-620-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8186 LARK BROWN RD STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756437",
            "telephone_number": "443-620-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM VIRISSAR PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "NDE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-365-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY PHARMACY AND MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.