NPIMap

Organization Active NPI

Belvedere Pharmacy LLC

Doing business as Belvedere Pharmacy

  • Long Term Care Pharmacy
  • Baltimore, MD
National Provider Identifier
1437731221
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BELVEDERE PHARMACY LLC
Doing business as
Belvedere Pharmacy
Practice address
3716 1/2 W Belvedere Ave Unit C
Baltimore, MD 21215-5708
Phone
(410) 367-5710
Fax
(410) 367-5639
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BELVEDERE PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Bernard W AndohNPI 1952425928
Title
Manager
Phone
(410) 367-5710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

3716 1/2 W Belvedere Ave Unit C
Baltimore, MD 21215-5708

Mailing address

3716 1/2 W Belvedere Ave Unit C
Baltimore, MD 21215-5708
Phone (410) 367-5710

Other names 1

  • Belvedere Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Belvedere Pharmacy LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1437731221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 1/2 W BELVEDERE AVE UNIT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155708",
            "telephone_number": "410-367-5710",
            "fax_number": "410-367-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 1/2 W BELVEDERE AVE UNIT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155708",
            "telephone_number": "410-367-5710",
            "fax_number": "410-367-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVEDERE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELVEDERE PHARMACY",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "ANDOH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-367-5710"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belvedere Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.