NPIMap

Organization Active NPI

Refua Pharmacy and Medical Supply Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1124394432
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05671 Issued in MD
Legal business name
REFUA PHARMACY AND MEDICAL SUPPLY INC
Practice address
6404 Reisterstown Rd
Baltimore, MD 21215-2308
Phone
(410) 585-0055
Fax
(410) 585-0222
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Alexander Altshuler, BS IN PHARMACYNPI 1033436894
Title
Pharmacy Manager
Phone
(410) 585-0055

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P05671 MD Primary

Addresses

Primary practice location

6404 Reisterstown Rd
Baltimore, MD 21215-2308

Mailing address

6404 Reisterstown Rd
Baltimore, MD 21215-2308
Phone (410) 585-0055

Other identifiers 2

IdentifierTypeStateIssuer
2134600OtherPK
4240286MedicaidMD

Other names 1

  • Refua Pharmacy and Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

6404 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 585-0055

Practitioners & affiliated clinicians

Practitioners 1

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": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1124394432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152308",
            "telephone_number": "410-585-0055",
            "fax_number": "410-585-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152308",
            "telephone_number": "410-585-0055",
            "fax_number": "410-585-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUA PHARMACY AND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "ALTSHULER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "410-585-0055",
        "authorized_official_credential": "BS IN PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4240286",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refua Pharmacy and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Refua Pharmacy and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.