NPIMap

Organization Active NPI

Glen Burnie Pharmacy

  • Community/Retail Pharmacy
  • Glen Burnie, MD
National Provider Identifier
1720550791
Registry record updated Jan 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GLEN BURNIE PHARMACY
Doing business as
Lifeline Pharmacy
Practice address
85 Kindred Way Apt 102
Glen Burnie, MD 21061-5246
Phone
(410) 553-6100
NPI assigned
Jan 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2019

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

Authorized official

Name
Andrew Nye II
Title
Owner
Phone
(856) 506-1836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

85 Kindred Way Apt 102
Glen Burnie, MD 21061-5246

Mailing address

85 Kindred Way Apt 102
Glen Burnie, MD 21061-5246
Phone (410) 553-6100

Other names 1

  • Lifeline Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

85 Kindred Way
Apt 102
Glen Burnie, MD 21061
Phone (410) 553-6100

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": "1546300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546300800000",
    "number": "1720550791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 KINDRED WAY APT 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615246",
            "telephone_number": "410-553-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KINDRED WAY APT 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615246",
            "telephone_number": "410-553-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN BURNIE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-01",
        "last_updated": "2019-01-01",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-506-1836",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.