NPIMap

Organization Active NPI

City Access LLC

Doing business as City Access Pharmacy

  • Community/Retail Pharmacy
  • Beltsville, MD
National Provider Identifier
1750942512
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CITY ACCESS LLC
Doing business as
City Access Pharmacy
City Access Pharmacy LLC
Practice address
11466 Cherry Hill Rd
Beltsville, MD 20705-3617
Phone
(240) 241-4853
Fax
(301) 477-4191
NPI assigned
Jun 24, 2019
Last updated
Jan 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Oladeji Yusuf, RPHNPI 1295395127
Title
Pharmacist
Phone
(240) 701-4741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11466 Cherry Hill Rd
Beltsville, MD 20705-3617

Mailing address

11466 Cherry Hill Rd
Beltsville, MD 20705-3617
Phone (240) 701-4741

Other names 2

  • CITY ACCESS PHARMACY Doing business as
  • CITY ACCESS PHARMACY LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL PHARMACYSOFTWARE Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190821001257 DC Part B Supplier - Pharmacy 5496083032 Practice locations: Beltsville, MD

National Provider Directory

National Provider Directory

Locations

11466 Cherry Hill Rd
Beltsville, MD 20705
Phone (240) 701-4741

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1750942512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11466 CHERRY HILL RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053617",
            "telephone_number": "240-701-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11466 CHERRY HILL RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053617",
            "telephone_number": "240-241-4853",
            "fax_number": "301-477-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "OLADEJI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "240-701-4741",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PHARMACYSOFTWARE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11466 CHERRY HILL ROAD",
            "city": "SILVER SPRING",
            "state": "MD",
            "country_code": "US",
            "postal_code": "20705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CITY ACCESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CITY ACCESS PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.