Pharmacare at Reisterstown LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05124 Issued in MD

Legal business name

PHARMACARE AT REISTERSTOWN LLC

Practice address

11813 1/2 Reisterstown Rd
Reisterstown, MD 21136-3303

Phone

(410) 526-1200

Fax

(410) 526-2100

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Reddy Annappareddy

Title

Pharmacy Manager

Phone

(443) 616-6500

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Pharmacare Discount Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1174853188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 OLD EMMORTON RD",
            "address_2": "SUITE 122",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156187",
            "telephone_number": "410-526-1200",
            "fax_number": "410-526-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11813 1/2 REISTERSTOWN RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363303",
            "telephone_number": "410-526-1200",
            "fax_number": "410-526-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACARE AT REISTERSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "ANNAPPAREDDY",
        "authorized_official_first_name": "REDDY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "443-616-6500"
    },
    "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": "P05124",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028495500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2135122",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacare Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Reisterstown, MD
• Providers in Reisterstown, 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 Sep 14, 2012; 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.