Laxmi Durga RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAXMI DURGA RX LLC

Doing business as

edmondson pharmacy

Practice address

4506 Edmondson Ave
Baltimore, MD 21229-1506

Phone

(410) 566-5565

Fax

(410) 566-1969

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Prudvi Ram Reddy Pedaveeti

Title

Pharmacy Manager

Phone

(410) 566-5565

Specialties & licenses 2

Addresses

Other names 1

• edmondson pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prudvi Reddy Pedaveeti

  • Pharmacist
  • Laurel, MD
  • NPI 1144566324
  NPD

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1235482944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291506",
            "telephone_number": "410-566-5565",
            "fax_number": "410-566-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291506",
            "telephone_number": "410-566-5565",
            "fax_number": "410-566-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAXMI DURGA RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "PEDAVEETI",
        "authorized_official_first_name": "PRUDVI RAM REDDY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "410-566-5565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P05769",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "edmondson pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "edmondson pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saniya C Lawson
• Suzanne Lawson, LMSW
• Jennifer S Lawton, MD
• Cyrus Jefferson Lawyer III, M.D.
• Peter James Lax, MB CHB (HONS) FRCA
• Layae Therapeutic & Associates Inc
• Edward Donald Layne, MD
• Wilfred Anthony Layne, MD
• Cherokee Layson-Wolf, PHARM.D.
• Sage Garcia Layson

• 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 May 24, 2021; 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.