NPIMap

Organization Active NPI

Deale Pharmacy LLC

Doing business as Deale Pharmacy

  • Community/Retail Pharmacy
  • Deale, MD
National Provider Identifier
1114275708
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05745 Issued in MD
Legal business name
DEALE PHARMACY LLC
Doing business as
Deale Pharmacy
Practice address
5809 Deale Churchton Rd
Deale, MD 20751-2203
Phone
(410) 867-2455
Fax
(410) 867-2466
NPI assigned
Aug 29, 2012
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Surinder SingalNPI 1164063210
Title
President
Phone
(410) 867-2455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P05745 MD Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

5809 Deale Churchton Rd
Deale, MD 20751-2203

Mailing address

5809 Deale Churchton Rd
Deale, MD 20751-2203
Phone (410) 867-2455

Other identifiers 1

IdentifierTypeStateIssuer
2137034OtherPK

Other names 1

  • Deale Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5809 Deale Churchton Rd
Deale, MD 20751
Phone (410) 867-2455

5809 Deale Churchton Rd
Unit Bc
Deale, MD 20751
Phone (410) 867-2455

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1114275708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 DEALE CHURCHTON RD",
            "city": "DEALE",
            "state": "MD",
            "postal_code": "207512203",
            "telephone_number": "410-867-2455",
            "fax_number": "410-867-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 DEALE CHURCHTON RD",
            "city": "DEALE",
            "state": "MD",
            "postal_code": "207512203",
            "telephone_number": "410-867-2455",
            "fax_number": "410-867-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEALE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SINGAL",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-867-2455"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05745",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deale Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.