Govindan Vaidyanathan, R.PH., PH.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

18471 Issued in MD

Practice address

5624 Baltimore National Pike
Rite Aid Pharmacy Store 374
Baltimore, MD 21228-1401

Phone

(410) 719-7608

NPI assigned

Jun 4, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Maryland Inc

  • Community/Retail Pharmacy
  • Westminster, MD
  • NPI 1316056757
  NPD (past)

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1376837658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 DEBRA CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423699",
            "telephone_number": "301-340-6956",
            "fax_number": "301-340-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 BALTIMORE NATIONAL PIKE",
            "address_2": "RITE AID PHARMACY STORE 374",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281401",
            "telephone_number": "410-719-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYANATHAN",
        "first_name": "GOVINDAN",
        "name_prefix": "Dr.",
        "credential": "R.PH., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-04",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18471",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MD",
            "license": "18471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milap Kaushik Vaghela, MD
• Arjun Vaid, M.D.
• Monica Marwaha Vaid I, MD
• Manali A Vaidya, DDS
• Maria Rodriguez Vaidya, CRNP
• Emma Ruane Vail
• Melissa Vail, LCPC
• Michael Vail, LCPC-ACS
• Krystle Darnee Vailes
• Kayla Hope Vaillancourt

• Pharmacist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.