Organization Active NPI

Catonsville Pharmacy LLC

  • Community/Retail Pharmacy
  • Catonsville, MD
National Provider Identifier
1710980255
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P02298 Issued in MD
Legal business name
CATONSVILLE PHARMACY LLC
Doing business as
Catonsville Pharmacy LLC
Practice address
6350 Frederick Rd Ste B
Catonsville, MD 21228-2375
Phone
(410) 744-5959
Fax
(410) 744-4810
NPI assigned
May 28, 2005
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Raimon Cary, PHARMDNPI 1790948230
Title
Owner
Phone
(410) 526-1055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P02298 MD Primary

Addresses

Primary practice location

6350 Frederick Rd Ste B
Catonsville, MD 21228-2375

Mailing address

6350 Frederick Rd Ste B
Catonsville, MD 21228-2375
Phone (410) 744-5959

Other identifiers 2

IdentifierTypeStateIssuer
559900800MedicaidMD
2036487OtherPK

Other names 1

  • CATONSVILLE PHARMACY LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930041213 MD DME Supplier - Pharmacy 3870691249 Practice locations: Baltimore, MD
O20150519000946 MD Part B Supplier - Mass Immunization (Roster Biller Only) 3870691249 Practice locations: Catonsville, MD

National Provider Directory

National Provider Directory

Locations

6350 Frederick Rd
Catonsville, MD 21228
Phone (410) 744-5959

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1710980255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 FREDERICK RD STE B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282375",
            "telephone_number": "410-744-5959",
            "fax_number": "410-744-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 FREDERICK RD STE B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282375",
            "telephone_number": "410-744-5959",
            "fax_number": "410-744-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATONSVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-28",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "CARY",
        "authorized_official_first_name": "RAIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-526-1055",
        "authorized_official_credential": "PHARMD"
    },
    "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": "P02298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559900800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2036487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATONSVILLE PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CATONSVILLE PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.