Active NPI
B&a Pharmacy LLC
- Long Term Care Pharmacy
- Lanham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PW0327
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Samuel Cundiff
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021812000 | Medicaid | MD | |
| 024797900 | Other | MEDICIAD DME MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2185759 | B & a Pharmacy LLC | Certificate of waiver | Jun 8, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| B&a Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Lanham, MD
- NPI 1780198440
-
- Pharmacist
- Arnold, MD
- NPI 1780080572
-
- Long Term Care Pharmacy
- Lanham, MD
- NPI 1467059170
-
- Pharmacist
- Lanham, MD
- NPI 1841774650
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.