NPIMap

Organization Active NPI

St Charles Pharmacy LLC

  • Community/Retail Pharmacy
  • Waldorf, MD
National Provider Identifier
1437569126
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST CHARLES PHARMACY LLC
Doing business as
St Charles pharmacy
Practice address
1152 Smallwood Dr W
Waldorf, MD 20603-4759
Phone
(301) 932-5060
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Maruthi Prasad Veeramarchnani
Title
Owner
Phone
(301) 932-5060

Specialties & licenses 1

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

Addresses

Primary practice location

1152 Smallwood Dr W
Waldorf, MD 20603-4759

Mailing address

1152 Smallwood Dr W
Waldorf, MD 20603-4759
Phone (301) 932-5060

Other names 1

  • St Charles pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1152 Smallwood Dr W
Waldorf, MD 20603
Phone (301) 932-5060

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1437569126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 SMALLWOOD DR W",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034759",
            "telephone_number": "301-932-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 SMALLWOOD DR W",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034759",
            "telephone_number": "301-932-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "VEERAMARCHNANI",
        "authorized_official_first_name": "MARUTHI",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-932-5060"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.