Chester River Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Chestertown, MD
NPI 1366964629 · NPPES record last updated May 16, 2026
Key facts
- NPI
- 1366964629
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CHESTER RIVER PHARMACY LLC
- Practice address
- 601 Washington Ave
Chestertown, MD 21620-1248 - Phone
- (410) 810-3600
- Fax
- (410) 810-3700
- NPI assigned
- Jul 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Rajendra Prasad Kamma
- Title
- Member
- Phone
- (609) 516-8591
Corporate family (same tax ID) 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180919002406 | MD | Part B Supplier - Mass Immunization (Roster Biller Only) | 6608127311 | Practice locations: Chestertown, MD |
National Provider Directory
- Tax ID family
- Chester River Pharmacy
Locations
601 Washington Ave
Chestertown, MD 21620
Phone (410) 810-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
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
- Chester River Pharmacy
Other providers in Chestertown, MD
- Chester River Hospital Center
- Chester River Hospital Center
- Chester River Manor Nursing and Rehabilitation Center
- Chester River Manor, Inc
- Chester River Pharmacy LLC
- Chestertown Cardiology LLC
- Chestertown Cardiology LLC
- Chestertown Chiropractic Center LLC
- Chestertown Family Medicine PA
- Chestertown MD Opco LLC
All providers in Chestertown, MD · Community/Retail Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.