Bala Virisaar Phramacy Inc, Dba Freedom Drugs

Primary specialty

PharmacyTaxonomy code 333600000X

License

P04394 Issued in MD

Legal business name

BALA VIRISAAR PHRAMACY INC, DBA FREEDOM DRUGS

Practice address

7568 N Point Rd
Baltimore, MD 21219-1412

Phone

(410) 477-5130

Fax

(410) 477-9890

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rajkamal Brahmanapalli, RPH

Title

Owner/Pharmacist

Phone

(410) 477-5130

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760427660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7568 N POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212191412",
            "telephone_number": "410-477-5130",
            "fax_number": "410-477-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7568 N POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212191412",
            "telephone_number": "410-477-5130",
            "fax_number": "410-477-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALA VIRISAAR PHRAMACY INC, DBA FREEDOM DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAHMANAPALLI",
        "authorized_official_first_name": "RAJKAMAL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "410-477-5130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P04394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409854400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Baltimore, MD
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.