Organization Active NPI

Community Care RX Inc

Doing business as Community Care Rx

  • Community/Retail Pharmacy
  • Monrovia, MD
National Provider Identifier
1487927026
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH05655 Issued in MD
Legal business name
COMMUNITY CARE RX INC
Doing business as
Community Care Rx
Practice address
11801 Fingerboard Rd Ste 6
Monrovia, MD 21770-9030
Phone
(301) 882-7370
Fax
(301) 882-7368
NPI assigned
Feb 13, 2012
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Mr. Leon John Mican Jr.
Title
Owner
Phone
(301) 882-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH05655 MD Primary

Addresses

Primary practice location

11801 Fingerboard Rd Ste 6
Monrovia, MD 21770-9030

Mailing address

11801 Fingerboard Rd
Suite 6
Monrovia, MD 21770-9030
Phone (301) 882-7370

Other identifiers 1

IdentifierTypeStateIssuer
4464044MedicaidMD

Other names 1

  • Community Care Rx Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210428001943 MD Part B Supplier - Pharmacy 9537577713 Practice locations: Monrovia, MD

National Provider Directory

National Provider Directory

Locations

11791 Fingerboard Rd
Ste 6
Monrovia, MD 21770

11801 Fingerboard Rd
Ste 6
Monrovia, MD 21770
Phone (301) 882-7370

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": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1487927026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 FINGERBOARD RD",
            "address_2": "SUITE 6",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217709030",
            "telephone_number": "301-882-7370",
            "fax_number": "301-882-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 FINGERBOARD RD STE 6",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217709030",
            "telephone_number": "301-882-7370",
            "fax_number": "301-882-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "MICAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-882-7370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PH05655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4464044",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Care Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monrovia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.