Organization Active NPI

Rollins Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Rockville, MD
National Provider Identifier
1619282118
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05417 Issued in MD
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

Updated by the provider on Apr 10, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
039204900MedicaidMD
2127029OtherPK

Other names 1

  • Rollins Care Pharmacy, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210316001718 DC Part B Supplier - Pharmacy 6103232202 Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.