Organization Active NPI

KB Pharm Lockwood Pharmacy

  • Community/Retail Pharmacy
  • Silver Spring, MD
National Provider Identifier
1932674264
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KB PHARM LOCKWOOD PHARMACY
Practice address
10801 Lockwood Dr Ste 190
Silver Spring, MD 20901-1562
Phone
(301) 304-3300
Fax
(301) 304-3303
NPI assigned
Oct 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Koury Rofayel, RPH
Title
Co-Owner
Phone
(240) 413-5417

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

10801 Lockwood Dr Ste 190
Silver Spring, MD 20901-1562

Mailing address

10801 Lockwood Dr Ste 190
Silver Spring, MD 20901-1562
Phone (301) 304-3300

National Provider Directory

National Provider Directory

Locations

10801 Lockwood Dr
Ste 190
Silver Spring, MD 20901
Phone (301) 304-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1932674264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 190",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011562",
            "telephone_number": "301-304-3300",
            "fax_number": "301-304-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 190",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011562",
            "telephone_number": "301-304-3300",
            "fax_number": "301-304-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB PHARM LOCKWOOD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-13",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "ROFAYEL",
        "authorized_official_first_name": "KOURY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "240-413-5417",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.