Organization Active NPI

Drugstore Pharmacy, LLC

Doing business as Drugstore Pharmacy&Surgicals

  • Community/Retail Pharmacy
  • Dundalk, MD
National Provider Identifier
1245514942
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DRUGSTORE PHARMACY, LLC
Doing business as
Drugstore Pharmacy&Surgicals
Practice address
209 Wise Ave
Dundalk, MD 21222-4911
Phone
(410) 288-0007
NPI assigned
Sep 29, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Mr. Naveen Parupalli
Title
Member
Phone
(410) 288-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

209 Wise Ave
Dundalk, MD 21222-4911

Mailing address

PO Box 537
Totowa, NJ 07511-0537
Phone (240) 498-2151

Other identifiers 2

IdentifierTypeStateIssuer
048239100MedicaidMD
W14266498OtherMDDEPARTMENT OF TAXATION ID

Other names 1

  • DRUGSTORE PHARMACY&SURGICALS Doing business as

National Provider Directory

National Provider Directory

Locations

209 Wise Ave
Dundalk, MD 21222
Phone (201) 450-1629

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1245514942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075110537",
            "telephone_number": "240-498-2151",
            "fax_number": "718-783-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WISE AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224911",
            "telephone_number": "410-288-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUGSTORE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "PARUPALLI",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-288-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048239100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF TAXATION ID",
            "identifier": "W14266498",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUGSTORE PHARMACY&SURGICALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.