Rockville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07864 Issued in MD

Legal business name

ROCKVILLE PHARMACY INC

Practice address

50 W Edmonston Dr Ste 104
Rockville, MD 20852-1260

Phone

(240) 403-0152

Fax

(240) 403-0153

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Behrooz Goodarzi, BS IN PHARMACY

Title

President/Owner

Phone

(240) 403-1027

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rockville Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1295962280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 104",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521260",
            "telephone_number": "240-403-0152",
            "fax_number": "240-403-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 104",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521260",
            "telephone_number": "240-403-0152",
            "fax_number": "240-403-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "GOODARZI",
        "authorized_official_first_name": "BEHROOZ",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "240-403-1027",
        "authorized_official_credential": "BS IN PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120711",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rockville Medical Care LLC
• Rockville Nursing Home, Inc.
• Rockville Open MRI, Inc.
• Rockville Optometry, LLC
• Rockville Pediatric Dental LLC
• Rockville Physical Therapy
• Rockville Pike Optometry, LLC
• Rockville SNF Operator, LLC
• Rockville Surgical Suites, LLC
• Rockville Wellness Center

• Community/Retail Pharmacy in Rockville, MD
• Providers in Rockville, 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 Jul 19, 2018; 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.