NPIMap

Organization Active NPI

Marelaine Inc

Doing business as Independent Drug

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1942372735
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04009 Issued in MD
Legal business name
MARELAINE INC
Doing business as
Independent Drug
Practice address
28 Kingston Rd
Baltimore, MD 21220-4814
Phone
(410) 687-1115
Fax
(410) 687-0032
NPI assigned
Nov 15, 2006
Last updated
Dec 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
George Garmer, RPHNPI 1780240325
Title
Owner,RPH,Ao
Phone
(410) 687-1115

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P04009 MD Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

28 Kingston Rd
Baltimore, MD 21220-4814

Mailing address

28 Kingston Rd
Baltimore, MD 21220-4814
Phone (410) 687-1115

Other identifiers 3

IdentifierTypeStateIssuer
2037802OtherPK
405657400MedicaidMD
404088100MedicaidMD

Other names 1

  • INDEPENDENT DRUG Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1942372735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KINGSTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212204814",
            "telephone_number": "410-687-1115",
            "fax_number": "410-687-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 KINGSTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212204814",
            "telephone_number": "410-687-1115",
            "fax_number": "410-687-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARELAINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "GARMER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER,RPH,AO",
        "authorized_official_telephone_number": "410-687-1115",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04009",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037802",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405657400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404088100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDEPENDENT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.