Organization Active NPI

Tuxedo Pharmacy Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1740379429
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P00794 Issued in MD
Legal business name
TUXEDO PHARMACY INC
Doing business as
TUXEDO PHARMACY INC
Practice address
5115 Roland Ave
Baltimore, MD 21210-2138
Phone
(410) 323-3000
Fax
(410) 435-6733
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Arnold Davidov
Title
Pres
Phone
(410) 323-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P00794 MD Primary

Addresses

Primary practice location

5115 Roland Ave
Baltimore, MD 21210-2138

Mailing address

5115 Roland Avenue
Baltimore, MD 21210
Phone (410) 323-3000

Other identifiers 2

IdentifierTypeStateIssuer
079742100MedicaidMD
2033031OtherPK

Other names 1

  • TUXEDO PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

5115 Roland Ave
Baltimore, MD 21210
Phone (410) 323-3000

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1740379429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 ROLAND AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "410-323-3000",
            "fax_number": "410-435-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 ROLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102138",
            "telephone_number": "410-323-3000",
            "fax_number": "410-435-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUXEDO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "DAVIDOV",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "410-323-3000"
    },
    "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": "P00794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079742100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUXEDO PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.