Organization Active NPI

RNK Pharmacy Inc.

Doing business as Eden Pharmacy

  • Pharmacy
  • Gaithersburg, MD
National Provider Identifier
1841946654
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
RNK PHARMACY INC.
Doing business as
Eden Pharmacy
Practice address
481 N Frederick Ave Ste 103
Gaithersburg, MD 20877-2470
Phone
(301) 298-9890
Fax
(301) 869-9909
NPI assigned
Mar 2, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Ruby Lee, PHARMDNPI 1689274847
Title
President
Phone
(703) 350-3808

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

481 N Frederick Ave Ste 103
Gaithersburg, MD 20877-2470

Mailing address

481 N Frederick Ave Ste 103
Gaithersburg, MD 20877-2470
Phone (301) 298-9890

Other names 1

  • EDEN PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220704000037 DC Part B Supplier - Pharmacy 1951781210 Practice locations: Gaithersburg, MD
O20220919000007 DC Part B Supplier - Independent Clinical Laboratory 1951781210 Practice locations: Gaithersburg, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2261894RNK Pharmacy Inc481 N Frederick Ave Suite 103, Gaithersburg, MD 20877Certificate of waiverJun 6, 2028

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1841946654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 N FREDERICK AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772470",
            "telephone_number": "301-298-9890",
            "fax_number": "301-869-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 N FREDERICK AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772470",
            "telephone_number": "301-298-9890",
            "fax_number": "301-869-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RNK PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-350-3808",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.