Organization Active NPI

B&a Pharmacy LLC

  • Long Term Care Pharmacy
  • Lanham, MD
National Provider Identifier
1598908659
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PW0327 Issued in MD
Legal business name
B&A PHARMACY LLC
Practice address
4611 Assembly Dr
Lanham, MD 20706-4371
Phone
(410) 789-8454
Fax
(410) 789-8456
NPI assigned
Apr 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Jeremy Samuel CundiffNPI 1780198440
Title
Owner
Phone
(443) 949-8373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PW0327 MD Primary

Addresses

Primary practice location

4611 Assembly Dr
Lanham, MD 20706-4371

Mailing address

4611 Assembly Dr
Lanham, MD 20706-4371
Phone (410) 789-8454

Other identifiers 2

IdentifierTypeStateIssuer
021812000MedicaidMD
024797900OtherMEDICIAD DME MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180110000666 DC Part B Supplier - Pharmacy 8224395256 Practice locations: Lanham, MD
O20180613002586 MD DME Supplier - Pharmacy 8224395256 Practice locations: Lanham, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2185759B & a Pharmacy LLC4611 Assembly Dr #H, Lanham, MD 20706Certificate of waiverJun 8, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
B&a Pharmacy LLC4611 Assembly Dr, Lanham, MD 20706-4841(410) 789-8454 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 2, 2015

National Provider Directory

National Provider Directory

Locations

1460 Ritchie Hwy
Ste 102
Arnold, MD 21012

4611 Assembly Dr
Ste H
Lanham, MD 20706
Phone (240) 624-2200

4611 Assembly Dr
Lanham, MD 20706
Phone (301) 442-0278

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1598908659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 ASSEMBLY DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064371",
            "telephone_number": "410-789-8454",
            "fax_number": "410-789-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 ASSEMBLY DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064371",
            "telephone_number": "410-789-8454",
            "fax_number": "410-789-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&A PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-18",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-949-8373"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021812000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICIAD DME MD",
            "identifier": "024797900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.