Belair Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06953 Issued in MD

Legal business name

BELAIR PHARMACY LLC

Doing business as

BELAIR PHARMACY

Practice address

5309 Belair Rd
Baltimore, MD 21206-5109

Phone

(410) 601-3136

Fax

(443) 522-7481

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Bukola Ajibade

Title

Pharmacist

Phone

(410) 601-3136

Specialties & licenses 4

Addresses

Other names 1

• BELAIR PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1720450406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065109",
            "telephone_number": "410-601-3136",
            "fax_number": "443-522-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065109",
            "telephone_number": "410-601-3136",
            "fax_number": "443-522-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELAIR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "AJIBADE",
        "authorized_official_first_name": "BUKOLA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-601-3136",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06953",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELAIR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BELAIR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Marie Bekkouri, CRNP-PEDIATRICS
• Regina Bekumba
• Belair Health Solutions, Inc
• Belair Health Solutions, Inc.
• Belair Pharmacy LLC
• Belair Pharmacy LLC
• Bezawit Tefera Belay, M.D.
• Merid Gezahegn Belayneh, PHARMD
• Belcara Health
• Harolyn Me Belcher, MD

• 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 Mar 15, 2022; 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.