Active NPI
Ayza LLC
Doing business as Kings Pharmacy
- Community/Retail Pharmacy
- Woodbine, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P04737
- Legal business name
- AYZA LLC
- Doing business as
- Kings Pharmacy
- Practice address
- 7627 Woodbine Rd
Woodbine, MD 21797-8939 - Phone
- (410) 549-1900
- Fax
- (410) 549-3776
- NPI assigned
- Jan 8, 2007
- 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
- Zubair Azam
- Title
- Owner
- Phone
- (410) 549-1900
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P04737 | MD | Primary |
Addresses
Primary practice location
7627 Woodbine Rd
Woodbine, MD 21797-8939
Mailing address
PO Box 256
Woodbine, MD 21797-0256
Phone (410) 549-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417556500 | Medicaid | MD | |
| 2033691 | Other | PK |
Other names 1
- KINGS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140819001266 | MD | Part B Supplier - Pharmacy | 6507083375 | Practice locations: Woodbine, MD |
National Provider Directory
National Provider Directory- Tax ID family
- Ayza LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
7627 Woodbine Rd
Woodbine, MD 21797
Phone (410) 376-8484
Practitioners & affiliated clinicians
Practitioners 1
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
- Woodbine, MD
- NPI 1790051175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465171200000",
"number": "1912055575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 256",
"city": "WOODBINE",
"state": "MD",
"postal_code": "217970256",
"telephone_number": "410-549-1900",
"fax_number": "410-549-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7627 WOODBINE RD",
"city": "WOODBINE",
"state": "MD",
"postal_code": "217978939",
"telephone_number": "410-549-1900",
"fax_number": "410-549-3776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYZA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2016-06-06",
"status": "A",
"authorized_official_last_name": "AZAM",
"authorized_official_first_name": "ZUBAIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-549-1900"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P04737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417556500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2033691",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KINGS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodbine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.