Active NPI
Rollins Care Pharmacy LLC
- Community/Retail Pharmacy
- Rockville, MD
National Provider Identifier
1619282118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P05417
- Legal business name
- ROLLINS CARE PHARMACY LLC
- Doing business as
- Rollins Care Pharmacy, LLC
- Practice address
- 184 Rollins Ave
Rockville, MD 20852-4005 - Phone
- (301) 816-2801
- Fax
- (301) 816-2804
- NPI assigned
- Aug 10, 2010
- 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
- Elnaz Darj
- Title
- Owner
- Phone
- (301) 758-2061
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P05417 | MD | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
184 Rollins Ave
Rockville, MD 20852-4005
Mailing address
184 Rollins Ave
Rockville, MD 20852-4005
Phone (301) 816-2801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039204900 | Medicaid | MD | |
| 2127029 | Other | PK |
Other names 1
- Rollins Care Pharmacy, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210316001718 | DC | Part B Supplier - Pharmacy | 6103232202 | Practice locations: Rockville, MD |
National Provider Directory
National Provider DirectoryLocations
184 Rollins Ave
Rockville, MD 20852
Phone (301) 816-2801
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Rockville, MD
- NPI 1033712575
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Rockville, MD
- NPI 1134870553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428624000000",
"number": "1619282118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 ROLLINS AVE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524005",
"telephone_number": "301-816-2801",
"fax_number": "301-816-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 ROLLINS AVE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524005",
"telephone_number": "301-816-2801",
"fax_number": "301-816-2804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLLINS CARE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-10",
"last_updated": "2015-04-10",
"status": "A",
"authorized_official_last_name": "DARJ",
"authorized_official_first_name": "ELNAZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-758-2061"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P05417",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039204900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2127029",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rollins Care Pharmacy, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.