Organization Active NPI

Llodna Inc

Doing business as Garwyn Medical Pharmacy

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1538174164
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO4455 Issued in MD
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2132746OtherNCPDP PROVIDER IDENTIFICATION NUMBER
011481200MedicaidMD

Other names 1

  • GARWYN MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Garwyn Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.