Apollo Pharmacy of Gaithersburg, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07896 Issued in MD

Legal business name

APOLLO PHARMACY OF GAITHERSBURG, INC.

Doing business as

The Village Pharmacy

Practice address

9999 Stedwick Road
Gaithersburg, MD 20886-3709

Phone

(240) 912-7784

Fax

(240) 912-7764

NPI assigned

Mar 9, 2015

Last updated

Aug 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Utkarsh Desai

Title

Vice-President

Phone

(240) 912-7784

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• The Village Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1659764181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22492 CASTLE OAK ROAD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208715352",
            "telephone_number": "240-912-7784",
            "fax_number": "240-912-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 STEDWICK ROAD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863709",
            "telephone_number": "240-912-7784",
            "fax_number": "240-912-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PHARMACY OF GAITHERSBURG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "UTKARSH",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "240-912-7784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06646",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07896",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "P07896",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MD",
            "license": "P07896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.