Organization Active NPI

Ritchie Pharmacy LLC

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1174620009
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07447 Issued in MD
Legal business name
RITCHIE PHARMACY LLC
Practice address
5507 Ritchie Hwy Ste B
Baltimore, MD 21225-3472
Phone
(410) 355-3610
Fax
(410) 355-7248
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Thomas WielandNPI 1932136710
Title
President
Phone
(410) 355-3610

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07447 MD Primary

Addresses

Primary practice location

5507 Ritchie Hwy Ste B
Baltimore, MD 21225-3472

Mailing address

5507 Ritchie Hwy Ste B
Baltimore, MD 21225-3472
Phone (410) 355-3610

Other identifiers 2

IdentifierTypeStateIssuer
2167211OtherPK
305612100MedicaidMD

Other names 1

  • Ritchie 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
O20170808002477 MD DME Supplier - Pharmacy 6204107394 Practice locations: Brooklyn Park, MD
O20171005002688 MD Part B Supplier - Mass Immunization (Roster Biller Only) 6204107394 Practice locations: Brooklyn Park, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ritchie Pharmacy LLC5507 Ritchie Hwy, Brooklyn Park, MD 21225-3472(410) 355-3721 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 2, 2017

National Provider Directory

National Provider Directory

Locations

5507 Ritchie Hwy
Ste B
Brooklyn Park, MD 21225
Phone (410) 355-3610

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1174620009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 RITCHIE HWY STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212253472",
            "telephone_number": "410-355-3610",
            "fax_number": "410-355-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 RITCHIE HWY STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212253472",
            "telephone_number": "410-355-3610",
            "fax_number": "410-355-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITCHIE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "WIELAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-355-3610"
    },
    "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": "P07447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167211",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305612100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ritchie Pharmacy",
            "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 May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.