Organization Active NPI

Drug City Pharmacy, LLC

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1801885652
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07196 Issued in MD
Legal business name
DRUG CITY PHARMACY, LLC
Doing business as
Drug City Pharmacy
Practice address
2805 N Point Rd
Baltimore, MD 21222-2413
Phone
(410) 284-2424
Fax
(410) 284-0601
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Dr. George FotisNPI 1801884770
Title
Pharmacist
Phone
(410) 284-2424

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07196 MD Primary

Addresses

Primary practice location

2805 N Point Rd
Baltimore, MD 21222-2413

Mailing address

2805 N Point Rd
Baltimore, MD 21222-2413
Phone (410) 284-2424

Other identifiers 3

IdentifierTypeStateIssuer
2032796OtherPK
669506000MedicaidMD
800052200MedicaidMD

Other names 1

  • Drug City Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170324001995 MD DME Supplier - Pharmacy 9032494562 Practice locations: Dundalk, MD
O20170502001879 MD Part B Supplier - Mass Immunization (Roster Biller Only) 9032494562 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1801885652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 N POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222413",
            "telephone_number": "410-284-2424",
            "fax_number": "410-284-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 N POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222413",
            "telephone_number": "410-284-2424",
            "fax_number": "410-284-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG CITY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "FOTIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-284-2424",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "P07196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032796",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "669506000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800052200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.