Old Court Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OLD COURT PHARMACY INC

Practice address

8607 Liberty Road
Randallstown, MD 21133

Phone

(410) 521-9520

Fax

(410) 521-9521

NPI assigned

Jul 26, 2006

Last updated

Jun 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emeka Nwodim

Title

Pharmacist Manager

Phone

(410) 521-9520

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Old Court Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Old Court Pharmacy Inc

  • Pharmacy
  • Randallstown, MD
  • NPI 1720743859
  NPD tax ID

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1194748301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 LIBERTY ROAD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "21133",
            "telephone_number": "410-521-9520",
            "fax_number": "410-521-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 LIBERTY ROAD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "21133",
            "telephone_number": "410-521-9520",
            "fax_number": "410-521-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD COURT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "NWODIM",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_title_or_position": "PHARMACIST  MANAGER",
        "authorized_official_telephone_number": "410-521-9520"
    },
    "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": 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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2123127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233602200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilbert Uchenna Okonkwo Jr
• Cynthia N Okonkwo, FNP
• Olatunde Michael Oladejo, CSAC
• Olaitan O Olaleye
• Old Court LTC Pharmacy Inc
• Old Court Pharmacy Inc
• Stephen Olomukoro
• Olubode Olufajo
• Bolaji Olugboja
• Kayode Moses Oluniyi, MD

• Pharmacy in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.