Organization Active NPI

Whiteford Darlington, LLC

Doing business as Whiteford Pharmacy

  • Community/Retail Pharmacy
  • Whiteford, MD
National Provider Identifier
1124125976
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO7122 Issued in MD
Legal business name
WHITEFORD DARLINGTON, LLC
Doing business as
Whiteford Pharmacy
Practice address
2338 Whiteford Rd
Whiteford, MD 21160-1217
Phone
(410) 452-5221
Fax
(410) 452-0881
NPI assigned
Sep 20, 2006
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Naveen Kumar Kunaparaju
Title
Manager
Phone
(410) 838-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PO7122 MD Primary

Addresses

Primary practice location

2338 Whiteford Rd
Whiteford, MD 21160-1217

Mailing address

2338 Whiteford Rd
Whiteford, MD 21160-1217
Phone (410) 452-5221

Other names 1

  • WHITEFORD PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170517001073 MD DME Supplier - Pharmacy 0648558585 Practice locations: Whiteford, MD
O20170905002005 MD Part B Supplier - Mass Immunization (Roster Biller Only) 0648558585 1 other NPI on this enrollment
Practice locations: Darlington, MD; Whiteford, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Whiteford Darlington LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

2338 Whiteford Rd
Whiteford, MD 21160
Phone (410) 452-5221

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1124125976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 WHITEFORD RD",
            "city": "WHITEFORD",
            "state": "MD",
            "postal_code": "211601217",
            "telephone_number": "410-452-5221",
            "fax_number": "410-452-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 WHITEFORD RD",
            "city": "WHITEFORD",
            "state": "MD",
            "postal_code": "211601217",
            "telephone_number": "410-452-5221",
            "fax_number": "410-452-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEFORD DARLINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "KUNAPARAJU",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-838-8777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PO7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITEFORD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WHITEFORD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteford, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.