NPIMap

Organization Active NPI

VD Pharmacy LLC

  • Community/Retail Pharmacy
  • Glen Burnie, MD
National Provider Identifier
1801255666
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07069 Issued in MD
Legal business name
VD PHARMACY LLC
Practice address
85 Kindred Way
Suite 102
Glen Burnie, MD 21061
Phone
(410) 553-6100
Fax
(410) 553-6110
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Rajeshwer Pingili
Title
President
Phone
(410) 553-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07069 MD Primary

Addresses

Primary practice location

85 Kindred Way
Suite 102
Glen Burnie, MD 21061

Mailing address

85 Kindred Way
Suite 102
Glen Burnie, MD 21061
Phone (410) 553-6100

Other identifiers 1

IdentifierTypeStateIssuer
2155797OtherPK

Other names 1

  • LifeLine Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1801255666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 KINDRED WAY",
            "address_2": "SUITE 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-553-6100",
            "fax_number": "410-553-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KINDRED WAY",
            "address_2": "SUITE 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-553-6100",
            "fax_number": "410-553-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "PINGILI",
        "authorized_official_first_name": "RAJESHWER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-553-6100"
    },
    "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": "P07069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.