Blue Ridge Health Solutions LLC

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

Legal business name

BLUE RIDGE HEALTH SOLUTIONS LLC

Doing business as

Crofton Pharmacy

Practice address

1053 MD RT 3 N Ste 4
Gambrills, MD 21054-1781

Phone

(240) 354-5818

NPI assigned

Oct 19, 2024

Last updated

Oct 19, 2024By 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

Mrs. Moronke A Obaro, RPHNPI 1316247786

Title

Owner

Phone

(240) 354-5818

Specialties & licenses 2

Addresses

Other names 1

• CROFTON PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Moronke Obaro

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Edgewater, MD
  • NPI 1316247786
  NPD Authorized official

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1235950577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 EVERGREEN RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132311",
            "telephone_number": "240-354-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 MD RT 3 N STE 4",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541781",
            "telephone_number": "240-354-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "OBARO",
        "authorized_official_first_name": "MORONKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-354-5818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROFTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.