S & R Catonsville LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P02474 Issued in MD

Legal business name

S & R CATONSVILLE LLC

Practice address

6483 Baltimore National Pike
Catonsville, MD 21228-3904

Phone

(410) 869-9833

Fax

(410) 869-9834

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Syam K Potluri, R. PHNPI 1184931537

Title

Managing Member

Phone

(443) 823-3350

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NATURECARE PHARMACY Doing business as

Locations

Practitioners 1

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

• Syam Kumar Potluri, B.PHARM

  • Pharmacist
  • Baltimore, MD
  • NPI 1184931537
  NPD Authorized official

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1669462156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6483 BALTIMORE NATIONAL PIKE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283904",
            "telephone_number": "410-869-9833",
            "fax_number": "410-869-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6483 BALTIMORE NATIONAL PIKE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283904",
            "telephone_number": "410-869-9833",
            "fax_number": "410-869-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & R CATONSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "POTLURI",
        "authorized_official_first_name": "SYAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "443-823-3350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH"
    },
    "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": "P02474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001848100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATURECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NATURECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Catonsville, MD
• Providers in Catonsville, 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 Jun 17, 2022; 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.