Organization Active NPI

Little Acorn Pharmacy LLC

Doing business as Little Acorn Pharmacy

  • Community/Retail Pharmacy
  • Silver Spring, MD
National Provider Identifier
1184016917
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06806 Issued in MD
Legal business name
LITTLE ACORN PHARMACY LLC
Doing business as
Little Acorn Pharmacy
Practice address
11161 New Hampshire Ave Ste 110
Silver Spring, MD 20904-2606
Phone
(301) 592-0060
Fax
(301) 592-0054
NPI assigned
Mar 3, 2015
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Ajaykumar Sharma, RPHNPI 1558761825
Title
Owner,President,Pic,Ao
Phone
(410) 979-2631

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P06806 MD Primary
Specialty Pharmacy 3336S0011X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

11161 New Hampshire Ave Ste 110
Silver Spring, MD 20904-2606

Mailing address

11161 New Hampshire Ave Ste 110
Silver Spring, MD 20904-2606
Phone (301) 592-0060

Other identifiers 2

IdentifierTypeStateIssuer
092352400MedicaidMD
2150614OtherPK

Other names 1

  • Little Acorn Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210204002332 DC Part B Supplier - Mass Immunization (Roster Biller Only) 7416361308 Practice locations: Silver Spring, MD
O20240319001602 DC Part B Supplier - Pharmacy 7416361308 Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

11161 New Hampshire Ave
#11
Silver Spring, MD 20904
Phone (301) 592-0060

11161 New Hampshire Ave
Ste 110
Silver Spring, MD 20904
Phone (301) 592-0060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1184016917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 NEW HAMPSHIRE AVE STE 110",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042606",
            "telephone_number": "301-592-0060",
            "fax_number": "301-592-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 NEW HAMPSHIRE AVE STE 110",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042606",
            "telephone_number": "301-592-0060",
            "fax_number": "301-592-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ACORN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "AJAYKUMAR",
        "authorized_official_title_or_position": "OWNER,PRESIDENT,PIC,AO",
        "authorized_official_telephone_number": "410-979-2631",
        "authorized_official_credential": "RPH"
    },
    "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": "P06806",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092352400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Acorn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.