Organization Active NPI

Family Care Pharmacy LLC

Doing business as Family Care Pharmacy

  • Community/Retail Pharmacy
  • Lexington Park, MD
National Provider Identifier
1891118691
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06493 Issued in MD
Legal business name
FAMILY CARE PHARMACY LLC
Doing business as
Family Care Pharmacy
Practice address
21728 Great Mills Rd
Lexington Park, MD 20653-3801
Phone
(301) 862-3945
Fax
(301) 862-3946
NPI assigned
Jan 29, 2014
Last updated
May 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Authorized official

Name
Tanuja Katta
Title
Owner
Phone
(301) 862-3945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P06493 MD Primary

Addresses

Primary practice location

21728 Great Mills Rd
Lexington Park, MD 20653-3801

Mailing address

21728 Great Mills Rd
Lexington Park, MD 20653-3801
Phone (301) 862-3945

Other identifiers 2

IdentifierTypeStateIssuer
2144087OtherPK
512048900MedicaidMD

Other names 1

  • FAMILY CARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190219000119 MD Part B Supplier - Pharmacy 9931447851 Practice locations: Lexington Park, MD

National Provider Directory

National Provider Directory

Locations

46300 Lexington Village Way
Ste 104
Lexington Park, MD 20653
Phone (301) 862-3945

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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746835200000",
    "number": "1891118691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21728 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533801",
            "telephone_number": "301-862-3945",
            "fax_number": "301-862-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21728 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533801",
            "telephone_number": "301-862-3945",
            "fax_number": "301-862-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A",
        "authorized_official_last_name": "KATTA",
        "authorized_official_first_name": "TANUJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-862-3945"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512048900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY CARE 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 May 10, 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.