Organization Active NPI

Annapolis Pharmacy LLC

  • Community/Retail Pharmacy
  • Annapolis, MD
National Provider Identifier
1609272111
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06680 Issued in MD
Legal business name
ANNAPOLIS PHARMACY LLC
Practice address
703 Giddings Ave Ste L1
Annapolis, MD 21401-1471
Phone
(410) 263-7440
Fax
(410) 269-5947
NPI assigned
Nov 11, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jeremy Samuel Cundiff
Title
Owner
Phone
(443) 949-8373

Practitioners 7

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220324002995 MD Part B Supplier - Pharmacy 8921313297 Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P06680 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

703 Giddings Ave Ste L1
Annapolis, MD 21401-1471

Mailing address

703 Giddings Ave Ste L1
Annapolis, MD 21401-1471
Phone (410) 263-7440

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2149336OtherPK

Other names 1

NPPES NPI Registry
  • Annapolis Professional Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2026.

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1609272111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GIDDINGS AVE STE L1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011471",
            "telephone_number": "410-263-7440",
            "fax_number": "410-269-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 GIDDINGS AVE STE L1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011471",
            "telephone_number": "410-263-7440",
            "fax_number": "410-269-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149336",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annapolis Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.