Active NPI
Llodna Inc
Doing business as Garwyn Medical Pharmacy
- Community/Retail Pharmacy
- Baltimore, MD
National Provider Identifier
1538174164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PO4455
- Legal business name
- LLODNA INC
- Doing business as
- Garwyn Medical Pharmacy
- Practice address
- 2300 Garrison Blvd
Ste 209
Baltimore, MD 21216-2335 - Phone
- (410) 233-8666
- Fax
- (410) 233-8664
- NPI assigned
- Jul 30, 2006
- Last updated
- May 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Andoll, RPH
- Title
- Pharmacist
- Phone
- (410) 523-5900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PO4455 | MD | Primary |
Addresses
Primary practice location
2300 Garrison Blvd
Ste 209
Baltimore, MD 21216-2335
Mailing address
C/O Llodna Inc
1700 Edmondson Ave
Baltimore, MD 21223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132746 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 011481200 | Medicaid | MD |
Other names 1
- GARWYN MEDICAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Garwyn Medical Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Harlem Gardens Pharmacy
- Community/Retail Pharmacy
- Baltimore, MD
- NPI 1013933969
Locations
2300 Garrison Blvd
Ste 209
Baltimore, MD 21216
Phone (410) 233-8666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1538174164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O LLODNA INC",
"address_2": "1700 EDMONDSON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GARRISON BLVD",
"address_2": "STE 209",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212162335",
"telephone_number": "410-233-8666",
"fax_number": "410-233-8664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LLODNA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "ANDOLL",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "410-523-5900",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "PO4455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2132746",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011481200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GARWYN MEDICAL 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 May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.