Parkville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06486 Issued in MD

Legal business name

PARKVILLE PHARMACY LLC

Doing business as

Parkville Pharmacy

Practice address

8118 Harford Rd
Ste B
Parkville, MD 21234-5725

Phone

(443) 290-4867

Fax

(443) 290-4868

NPI assigned

Nov 10, 2014

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kishor Bupathi

Title

Cfo

Phone

(443) 290-4867

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PARKVILLE PHARMACY Doing business as

Locations

Practitioners 1

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.

• Pratap Rikka

  • Pharmacist
  • Parkville, MD
  • NPI 1588035448
  NPD

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1760888390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 HARFORD RD",
            "address_2": "SUITE B",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345725",
            "telephone_number": "443-290-4867",
            "fax_number": "443-290-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 HARFORD RD",
            "address_2": "STE B",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345725",
            "telephone_number": "443-290-4867",
            "fax_number": "443-290-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "BUPATHI",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-290-4867"
    },
    "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": "P06486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148556",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0862215",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandy Park, M.A., BCBA
• Lisa M Parker-Lent, LCSW-C
• Crystal Parker
• Maya Parker
• Monique Angel Parker
• Kavita Patel, PA-C
• Manan Patel
• Pathways to Progress Corporation
• Nina Patterson
• Peace Healthcare Home Health Agency, Inc

• Community/Retail Pharmacy in Parkville, MD
• Providers in Parkville, 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 27, 2017; 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.