Essex Pharmacy&Surgicals

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ESSEX PHARMACY&SURGICALS

Practice address

1550 Country Ridge LN
Essex, MD 21221-3906

Phone

(410) 686-0373

Fax

(410) 686-3675

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Vinod BoppanaNPI 1225397110

Title

Pharmacist in Charge

Phone

(410) 686-0373

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Drugs Cure Pharmacy & Surgicals LLC

  • Community/Retail Pharmacy
  • Dundalk, MD
  • NPI 1104489715

  Member Of

  NPD member

Locations

Practitioners 1

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

• Vinod Boppana

  • Pharmacist
  • Oakland, NJ
  • NPI 1225397110
  NPD Authorized official

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1114294576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COUNTRY RIDGE LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213906",
            "telephone_number": "410-686-0373",
            "fax_number": "410-686-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 COUNTRY RIDGE LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213906",
            "telephone_number": "410-686-0373",
            "fax_number": "410-686-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX PHARMACY&SURGICALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "BOPPANA",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "410-686-0373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND BUSINESS LICENSE",
            "identifier": "03433942",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Christopher Dudley, PT
• Emmanuel Egwumba
• Faiza Siddieg Elshafie
• Empire Medical LLC
• Equality Love
• Eva Life Giver Inc.
• Eva Life Giver Inc.
• Eva Life Giver Inc.
• Evision Medical Adult Day Center Corporation
• Adedayo Augustine Faponle

• Community/Retail Pharmacy in Essex, MD
• Providers in Essex, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.