Joppa Road Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05506 Issued in MD

Legal business name

JOPPA ROAD PHARMACY LLC

Practice address

1907A E Joppa Rd
Baltimore, MD 21234

Phone

(410) 665-5050

Fax

(410) 665-5959

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Morris Mayer, RPH

Title

Owner

Phone

(410) 665-5050

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• JOPPA ROAD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1689616112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907A E JOPPA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-665-5050",
            "fax_number": "410-665-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907A E JOPPA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-665-5050",
            "fax_number": "410-665-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOPPA ROAD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-665-5050",
        "authorized_official_credential": "RPH"
    },
    "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": "P05506",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037999",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4080360",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4086376",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOPPA ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Jong, D.D.S.
• Saikiran Jonnadula
• Henry Hyonoo Joo
• Angelita A Jopacio, MD
• Jeffrey Kyle Jopling, M.D.
• Nyjze Alexicia Joppy
• Jordan Therapeutic Services LLC
• Gayle Jordan-Randolph, M.D.
• Arianna Yoshiko Jordan, OD
• Ayana Jordan, RN

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, 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 Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.