NPIMap

Organization Active NPI

Bedford Road Pharmacy, Inc

Doing business as PharmaCare of Cumberland - Retail

  • Community/Retail Pharmacy
  • Cumberland, MD
National Provider Identifier
1316988462
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P00033 Issued in MD
Legal business name
BEDFORD ROAD PHARMACY, INC
Doing business as
PharmaCare of Cumberland - Retail
Practice address
11306 Bedford Rd NE
Cumberland, MD 21502-6802
Phone
(301) 777-1771
Fax
(301) 777-0116
NPI assigned
Jun 9, 2006
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Mr. Randy Trumbule, RPHNPI 1831170760
Title
Retail Pharmacy Manager
Phone
(301) 777-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P00033 MD Primary

Addresses

Primary practice location

11306 Bedford Rd NE
Cumberland, MD 21502-6802

Mailing address

3 Commerce Dr
Cumberland, MD 21502-1058
Phone (301) 777-1773

Other identifiers 2

IdentifierTypeStateIssuer
2105888OtherMDNABP #
420138800MedicaidMD

Other names 1

  • PharmaCare of Cumberland - Retail Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160811001114 MD Part B Supplier - Mass Immunization (Roster Biller Only) 7012034044 6 other NPIs on this enrollment
Practice locations: Cumberland, MD; Frostburg, MD; Lonaconing, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pharmacare Institutiona9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1316988462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COMMERCE DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021058",
            "telephone_number": "301-777-1773",
            "fax_number": "301-777-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 BEDFORD RD NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026802",
            "telephone_number": "301-777-1771",
            "fax_number": "301-777-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD ROAD PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "TRUMBULE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "RETAIL PHARMACY MANAGER",
        "authorized_official_telephone_number": "301-777-1771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P00033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "2105888",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420138800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmaCare of Cumberland - Retail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.