Vetcentric Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PW0229 Issued in MD

Legal business name

VETCENTRIC INC

Practice address

451 Defense Highway
Suite C
Annapolis, MD 21401

Phone

(410) 266-8818

Fax

(410) 266-6483

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacob R Raitt, PHD RPH

Title

Acting Director Pharmacy

Phone

(410) 266-8818

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952514580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 DEFENSE HIGHWAY",
            "address_2": "SUITE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-266-8818",
            "fax_number": "410-266-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DEFENSE HIGHWAY",
            "address_2": "SUITE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-266-8818",
            "fax_number": "410-266-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETCENTRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAITT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ACTING DIRECTOR PHARMACY",
        "authorized_official_telephone_number": "410-266-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "PW0229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2131857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.