Citicare Pharmacy and Medical Equipment, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07173 Issued in MD

Legal business name

CITICARE PHARMACY AND MEDICAL EQUIPMENT, LLC

Doing business as

Citicare Pharmacy

Practice address

3403 Greenmount Ave
Baltimore, MD 21218-2824

Phone

(410) 261-5551

NPI assigned

Apr 9, 2016

Last updated

Jul 10, 2019By 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

Deji Oladapo

Title

Pharmacy Manager

Phone

(410) 261-5551

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Citicare Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1700240330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 GREENMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182824",
            "telephone_number": "410-261-5551",
            "fax_number": "410-261-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 GREENMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182824",
            "telephone_number": "410-261-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITICARE PHARMACY AND MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-09",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "OLADAPO",
        "authorized_official_first_name": "DEJI",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "410-261-5551"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07173",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citicare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citicare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ann Cirko, MS CCC-SLP
• Ryan Cisek, A.T.C.
• Fatoumata Cisse
• Citi Hill Health
• Citi Hill Health
• Brandon Citrano
• Charles Michael Citrenbaum, PH.D.
• Jason Ryan Citron, M.D.
• Citrus Dermatology Services of MD PC
• Citywide Behavioral Health

• 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 Jul 10, 2019; 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.