Organization Active NPI

New Era Care Pharmacy and Variety Outlet

  • Pharmacy
  • Capitol Heights, MD
National Provider Identifier
1275664104
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NEW ERA CARE PHARMACY AND VARIETY OUTLET
Practice address
1436 Addison Rd S
Capitol Heights, MD 20743-4413
Phone
(301) 808-4361
Fax
(301) 808-5291
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Mrs. Selina Nwachukwu, PHARMD
Title
Ceo
Phone
(301) 808-4361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1436 Addison Rd S
Capitol Heights, MD 20743-4413

Mailing address

1436 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 808-4361

Other identifiers 2

IdentifierTypeStateIssuer
2037840OtherPK
406032600MedicaidMD

Other names 1

  • NEW ERA CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1436 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 808-4361

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1275664104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 ADDISON RD S",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434413",
            "telephone_number": "301-808-4361",
            "fax_number": "301-808-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 ADDISON RD S",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434413",
            "telephone_number": "301-808-4361",
            "fax_number": "301-808-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA CARE PHARMACY AND VARIETY OUTLET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-808-4361",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037840",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406032600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW ERA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW ERA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.