Organization Active NPI

Fairland Market Inc.

  • Pharmacist
  • Lexington Park, MD
National Provider Identifier
1811042500
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P01908 Issued in MD
Legal business name
FAIRLAND MARKET INC.
Practice address
46075 Signature LN
Lexington Park, MD 20653-1342
Phone
(301) 862-4830
Fax
(301) 862-4820
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Cherry Ellen Price
Title
Corporate Secretary
Phone
(301) 373-5848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X P01908 MD Primary

Addresses

Primary practice location

46075 Signature LN
Lexington Park, MD 20653-1342

Mailing address

PO Box 98
Hollywood, MD 20636-0098
Phone (301) 373-5848

Other identifiers 2

IdentifierTypeStateIssuer
2120854OtherMDNABP
2120854OtherMDNCPDP

Other names 1

  • McKay's Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairland Market Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

46075 Signature Ln
Lexington Park, MD 20653
Phone (301) 862-4830

Practitioners & affiliated clinicians

Practitioners 1

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1811042500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206360098",
            "telephone_number": "301-373-5848",
            "fax_number": "301-373-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46075 SIGNATURE LN",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531342",
            "telephone_number": "301-862-4830",
            "fax_number": "301-862-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAND MARKET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "301-373-5848"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "P01908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2120854",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2120854",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKay's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.