Active NPI
Catonsville Pharmacy LLC
- Community/Retail Pharmacy
- Catonsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P02298
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raimon Cary, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 559900800 | Medicaid | MD | |
| 2036487 | Other | PK |
Other names 1
- CATONSVILLE PHARMACY LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Finksburg, MD
- NPI 1790948230
-
- Pharmacist
- Baltimore, MD
- NPI 1033154091
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
- Catonsville Health Care LLC (Forest Haven Nursing Home)
- Catonsville MD Opco LLC (Peak Healthcare at Frederick Villa)
- Catonsville Optical
- Catonsville Oral Surgery, LLC (Catonsville Oral Surgery Center)
- Catonsville Pharmacy LLC
- Catonsville Physical Therapy, LLC
- Catonsville Primary Care Center, PA
- Catonsville Smiles and Dental Care
- Stephanie P Cavaliere, LCSW-C
- CD Support Solutions LLC
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.