Middle River Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MIDDLE RIVER PHARMACY LLC

Practice address

28 Kingston Rd
Middle River, MD 21220-4814

Phone

(410) 781-1841

NPI assigned

Apr 26, 2021

Last updated

Apr 26, 2021By 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

Dr. Ajay Khanna

Title

President

Phone

(410) 781-1841

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1275115503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 RITCHIE HWY",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212253048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 KINGSTON RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204814",
            "telephone_number": "410-781-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE RIVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-781-1841",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Middle River, MD
• Providers in Middle River, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.