Organization Active NPI

VDNR Infusion Services LLC

Doing business as LifeLine Infusion

  • Infusion Therapy Clinic/Center
  • Baltimore, MD
National Provider Identifier
1538861398
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.