NPIMap

Organization Active NPI

Beltsville Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Beltsville, MD
National Provider Identifier
1710288360
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BELTSVILLE PHARMACY
Practice address
10820 Rhode Island Ave Ste F
Beltsville, MD 20705-2570
Phone
(301) 595-5939
NPI assigned
Nov 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Mrs. Rakhi De, RPHNPI 1619259140
Title
Director / Pharmacist in Charge
Phone
(301) 595-5939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

10820 Rhode Island Ave Ste F
Beltsville, MD 20705-2570

Mailing address

5421 Talon CT
Clarksville, MD 21029-1142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120717000103 MD DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic Personnel 7113185323 Practice locations: Beltsville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1710288360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 TALON CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 RHODE ISLAND AVE STE F",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052570",
            "telephone_number": "301-595-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTSVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-13",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "DE",
        "authorized_official_first_name": "RAKHI",
        "authorized_official_title_or_position": "DIRECTOR / PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "301-595-5939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.