VDNR Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PW0513 Issued in MD

Legal business name

VDNR PHARMACY LLC

Doing business as

LifeLine Specialty Pharmacy

Practice address

6304 Woodside CT Ste 100
Columbia, MD 21046-3217

Phone

(410) 203-1010

Fax

(410) 203-1515

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Rajeshwer Reddy Pingili, MS, RPH

Title

President

Phone

(410) 203-1010

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• LifeLine Specialty Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1568975464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 WOODSIDE CT STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463217",
            "telephone_number": "410-203-1010",
            "fax_number": "410-203-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 WOODSIDE CT STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463217",
            "telephone_number": "410-203-1010",
            "fax_number": "410-203-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDNR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "PINGILI",
        "authorized_official_first_name": "RAJESHWER",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-203-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "PW0513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMIT NUMBER",
            "identifier": "PW0513",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLine Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Columbia, MD
• Providers in Columbia, MD by specialty
• Specialty Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.