VDN Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07438 Issued in MD

Legal business name

VDN PHARMACY LLC

Practice address

6821 Reisterstown Rd
Suite 207
Baltimore, MD 21215-1431

Phone

(410) 764-6500

Fax

(410) 764-6600

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

Shahbaz Chaudhry

Title

Owner

Phone

(410) 764-6500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LifeLine Baltimore Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1124561998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 REISTERSTOWN RD",
            "address_2": "SUITE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151431",
            "telephone_number": "410-764-6500",
            "fax_number": "410-764-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 REISTERSTOWN RD",
            "address_2": "SUITE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151431",
            "telephone_number": "410-764-6500",
            "fax_number": "410-764-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "SHAHBAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-764-6500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLine Baltimore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zulimar Vazquez Fontanez
• Alexandra Yulissa Vazquez, RN
• Juan Pablo Vazquez, MD
• Sara Anne Vazquez, LCSW-C
• VD & Sr Pharmacy LLC
• VDN Pharmacy LLC
• VDNR Infusion Services LLC
• Matthew Seth Veader
• Tricia Vecchione, MD
• Gabrielle Nina Vecere

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, 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 Jun 19, 2024; 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.