Active NPI
Bryan James Rollins, PHARMD
- Pharmacist
- Jessup, MD
National Provider Identifier
1891373866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27770
- Practice address
- 7650 Port Capital Dr
Jessup, MD 20794-6793 - Phone
- (410) 799-7770
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 067229 | NY | |
| Pharmacist | 183500000X | 27770 | MD | Primary |
Addresses
Primary practice location
7650 Port Capital Dr
Jessup, MD 20794-6793
Mailing address
7830 Mistletoe Dr Apt 191
Elkridge, MD 21075-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27770 | MD | MD | Pharmacist |
| 067229 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1891373866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7830 MISTLETOE DR APT 191",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210757333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 PORT CAPITAL DR",
"city": "JESSUP",
"state": "MD",
"postal_code": "207946793",
"telephone_number": "410-799-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "BRYAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067229",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jessup, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.