Active NPI
RNK Pharmacy Inc.
Doing business as Eden Pharmacy
- Pharmacy
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruby Lee, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2261894 | RNK Pharmacy Inc | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Gaithersburg, MD
- NPI 1689274847
-
- Pharmacist
- Gaithersburg, MD
- NPI 1811632425
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.