Eastern Pharmaceuticals

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P04195 Issued in MD

Legal business name

EASTERN PHARMACEUTICALS

Doing business as

MedMerica Discount Pharmacy

Practice address

5003 Ritchie Hwy
Brooklyn, MD 21225-3048

Phone

(443) 283-8400

Fax

(443) 893-7145

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ajay Khanna, PHARM.D., M.B.A.NPI 1881326247

Title

President

Phone

(443) 283-8400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MedMerica Discount Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajay Khanna, PHARMD

  • Pharmacist
  • Brooklyn, MD
  • NPI 1881326247
  NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1770626624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 RITCHIE HWY",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212253048",
            "telephone_number": "443-283-8400",
            "fax_number": "443-893-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 RITCHIE HWY",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212253048",
            "telephone_number": "443-283-8400",
            "fax_number": "443-893-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PHARMACEUTICALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-283-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003621800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2132277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedMerica Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. David M. Vieth 2, PC (Porter Dental)
• Dr. Tamader H. Mira, P.a.
• Gabrielle Drenner
• Shamonique Driskell, LCPC
• Shanu Eapen, PHARM D
• Family Health Centers of Baltimore, Inc.
• Richard Ernest Fisher, M.D.
• Pamela Recella Garcia, RPT
• Genesis Rehab Services
• Leo Gorner, PT

• Community/Retail Pharmacy in Brooklyn, MD
• Providers in Brooklyn, 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 Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.