Active NPI
Old Court LTC Pharmacy Inc
- Long Term Care Pharmacy
- Randallstown, MD
National Provider Identifier
1417422734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- OLD COURT LTC PHARMACY INC
- Doing business as
- Old Court LTC Pharmacy Inc
- Practice address
- 8607 Liberty Rd
Randallstown, MD 21133-4713 - Phone
- (410) 521-9520
- Fax
- (410) 521-9521
- NPI assigned
- Oct 13, 2018
- Last updated
- Jul 22, 2019
- Organization subpart
- Yes
- Parent organization
- OLD COURT PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Emeka Nwodim
- Title
- Pharmacist
- Phone
- (410) 521-9520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
8607 Liberty Rd
Randallstown, MD 21133-4713
Mailing address
8607 Liberty Rd
Randallstown, MD 21133-4713
Phone (410) 521-9520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PW0520 | Other | MD | DON'T HAVE FOR NOW |
Other names 1
- OLD COURT LTC PHARMACY INC
National Provider Directory
National Provider Directory- Part of
- Old Court Pharmacy Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563753600000",
"number": "1417422734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8607 LIBERTY RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334713",
"telephone_number": "410-521-9520",
"fax_number": "410-521-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8607 LIBERTY RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334713",
"telephone_number": "410-521-9520",
"fax_number": "410-521-9521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLD COURT LTC PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OLD COURT PHARMACY INC",
"enumeration_date": "2018-10-13",
"last_updated": "2019-07-22",
"status": "A",
"authorized_official_last_name": "NWODIM",
"authorized_official_first_name": "EMEKA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "410-521-9520",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DON'T HAVE FOR NOW",
"identifier": "PW0520",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OLD COURT LTC PHARMACY INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "OLD COURT LTC PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.