Active NPI
VDNR Infusion Services LLC
Doing business as LifeLine Infusion
- Infusion Therapy Clinic/Center
- Baltimore, MD
National Provider Identifier
1538861398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- VDNR INFUSION SERVICES LLC
- Doing business as
- LifeLine Infusion
- Practice address
- 821 N Eutaw St Ste 305
Baltimore, MD 21201-6303 - Phone
- (443) 914-3454
- Fax
- (443) 810-2134
- NPI assigned
- Mar 17, 2023
- Last updated
- Oct 16, 2023
- 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
- Rajeshwer Reddy Pingili, RPH
- Title
- Pharmacist
- Phone
- (443) 914-3454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | NU | Primary |
Addresses
Primary practice location
821 N Eutaw St Ste 305
Baltimore, MD 21201-6303
Mailing address
5126 Honey Locust CT
Ellicott City, MD 21042-6017
Other names 1
- LifeLine Infusion
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697414400000",
"number": "1538861398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 HONEY LOCUST CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210426017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N EUTAW ST STE 305",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212016303",
"telephone_number": "443-914-3454",
"fax_number": "443-810-2134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VDNR INFUSION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-17",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A",
"authorized_official_last_name": "PINGILI",
"authorized_official_first_name": "RAJESHWER",
"authorized_official_middle_name": "REDDY",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "443-914-3454",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LifeLine Infusion",
"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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.