NPIMap

Organization Active NPI

Natilys Pharmacy LLC

  • Community/Retail Pharmacy
  • Pikesville, MD
National Provider Identifier
1740216951
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04352 Issued in MD
Legal business name
NATILYS PHARMACY LLC
Practice address
4001-A Seven Mile Lane
Ste B
Pikesville, MD 21208
Phone
(410) 653-8888
Fax
(410) 581-0100
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Leo Freedman, RPH
Title
Pres
Phone
(410) 653-8888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P04352 MD Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4001-A Seven Mile Lane
Ste B
Pikesville, MD 21208

Mailing address

4001-A Seven Mile Lane
Ste B
Baltimore, MD 21208

Other identifiers 2

IdentifierTypeStateIssuer
2132582OtherNCPDP PROVIDER IDENTIFICATION NUMBER
006045300MedicaidMD

Other names 1

  • PIKESVILLE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4001A Seven Mile Ln
Ste B
Pikesville, MD 21208
Phone (410) 653-8888

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1740216951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001-A SEVEN MILE LANE",
            "address_2": "STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001-A SEVEN MILE LANE",
            "address_2": "STE B",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-653-8888",
            "fax_number": "410-581-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATILYS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "410-653-8888",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04352",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2132582",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006045300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIKESVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.