Gardenville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GARDENVILLE PHARMACY LLC

Practice address

5415 Belair Rd
Baltimore, MD 21206-4207

Phone

(856) 506-1836

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Andrew Nye II, PHARMDNPI 1629401393

Title

Pharmacist

Phone

(410) 252-5247

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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

• Andrew Nye

  • Pharmacist
  • Wildwood, NJ
  • NPI 1629401393
  NPD Authorized official
• Brooke Jessica Lawler, PHARMD

  • Pharmacist
  • Baltimore, MD
  • NPI 1831956077
  NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1730879784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 YORK RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210935606",
            "telephone_number": "856-506-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064207",
            "telephone_number": "856-506-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-252-5247",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Garcia
• Wendy E Garcia, OT
• Yolanda I Garcia
• Nicholas Garcy, PHARMD
• Lauren Gard, MPH
• Caitlin Gardiner, OTR/L
• Emily Ann Gardiner
• Holly J Gardiner, CCC-SLP
• Jodi-Ann Aretha Gardiner, CRNA
• Maryrose Gardiner

• 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 Feb 22, 2024; 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.