NPIMap

Organization Active NPI

Urbana Pharmacy Inc

  • Pharmacy
  • Frederick, MD
National Provider Identifier
1306488853
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
URBANA PHARMACY INC
Practice address
3420 Worthington Blvd Ste B
Frederick, MD 21704-7020
Phone
(240) 831-5155
Fax
(301) 810-2940
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Dr. Adetola Daramola, PHARM.DNPI 1548561699
Title
Owner and Pharmacist in Charge
Phone
(240) 604-6770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3420 Worthington Blvd Ste B
Frederick, MD 21704-7020

Mailing address

3420 Worthington Blvd Ste B
Frederick, MD 21704-7020
Phone (240) 831-5155

Other names 1

  • Urbana Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907000619 MD Part B Supplier - Pharmacy 1052795275 Practice locations: Frederick, MD

National Provider Directory

National Provider Directory
Tax ID family
Urbana Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1306488853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 WORTHINGTON BLVD STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047020",
            "telephone_number": "240-831-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 WORTHINGTON BLVD STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047020",
            "telephone_number": "240-831-5155",
            "fax_number": "301-810-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "DARAMOLA",
        "authorized_official_first_name": "ADETOLA",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "240-604-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urbana Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urbana Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.