Organization Active NPI

Chester River Pharmacy LLC

Doing business as Chester River Pharmacy

  • Community/Retail Pharmacy
  • Chestertown, MD
National Provider Identifier
1366964629
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHESTER RIVER PHARMACY LLC
Doing business as
Chester River Pharmacy
Practice address
601 Washington Ave
Chestertown, MD 21620-1248
Phone
(410) 810-3600
Fax
(410) 810-3700
NPI assigned
Jul 8, 2017
Last updated
May 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Authorized official

Name
Rajendra Prasad Kamma
Title
Member
Phone
(609) 516-8591

Specialties & licenses 1

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

Addresses

Primary practice location

601 Washington Ave
Chestertown, MD 21620-1248

Mailing address

601 Washington Ave
Chestertown, MD 21620-1248
Phone (410) 810-3600

Other names 1

  • Chester River Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180919002406 MD Part B Supplier - Mass Immunization (Roster Biller Only) 6608127311 Practice locations: Chestertown, MD

National Provider Directory

National Provider Directory
Tax ID family
Chester River 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.

Locations

601 Washington Ave
Chestertown, MD 21620
Phone (410) 810-3600

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": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778889600000",
    "number": "1366964629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201248",
            "telephone_number": "410-810-3600",
            "fax_number": "410-810-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201248",
            "telephone_number": "410-810-3600",
            "fax_number": "410-810-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER RIVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A",
        "authorized_official_last_name": "KAMMA",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-516-8591"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chester River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.