Whiteford Darlington, LLC
Organization Active NPI Community/Retail Pharmacy · Whiteford, MD
NPI 1124125976 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1124125976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PO7122 (MD)
- Legal business name
- WHITEFORD DARLINGTON, LLC
- Practice address
- 2338 Whiteford Rd
Whiteford, MD 21160-1217 - Phone
- (410) 452-5221
- Fax
- (410) 452-0881
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Naveen Kumar Kunaparaju
- Title
- Manager
- Phone
- (410) 838-8777
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Whiteford Darlington LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PO7122 | MD | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541172600 | Medicaid | MD | |
| 2108024 | Other | MD | NCPDP |
| 103132982-0001 | Medicaid | PA |
Other names
- WHITEFORD PHARMACY
Other providers in Whiteford, MD
- Mary Patricia Matejka
- Christopher Alexander Psaros
- Saubels Market LLC
- Taylor Physical Therapy, P.C.
- Brandon Taylor
- Whiteford Darlington, LLC
- Whiteford Pharmacy Inc.
- Whiteford Volunteer Fire Company Inc
All providers in Whiteford, MD · Community/Retail Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.