Organization Active NPI

BTCN, LLC

  • Community/Retail Pharmacy
  • Towson, MD
National Provider Identifier
1952642019
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BTCN, LLC
Practice address
716 Dulaney Valley Rd
Towson, MD 21204-5109
Phone
(410) 296-4900
Fax
(410) 296-4901
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Dr. Bertha Bate Ndje, PHARM DNPI 1972842300
Title
Pharmacist
Phone
(410) 296-4900

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

716 Dulaney Valley Rd
Towson, MD 21204-5109

Mailing address

195 Gittings Ave
Baltimore, MD 21212-2423
Phone (410) 207-2118

Other names 1

  • Dulaney Valley health mart pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131017000220 MD Part B Supplier - Mass Immunization (Roster Biller Only) 2961636469 Practice locations: Towson, MD
O20131115000372 MD DME Supplier - Pharmacy 2961636469 Practice locations: Towson, MD

National Provider Directory

National Provider Directory
Tax ID family
BTCN LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

716 Dulaney Valley Rd
Towson, MD 21204
Phone (410) 296-4900

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": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1952642019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 GITTINGS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122423",
            "telephone_number": "410-207-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 DULANEY VALLEY RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045109",
            "telephone_number": "410-296-4900",
            "fax_number": "410-296-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTCN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "NDJE",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "BATE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-296-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dulaney Valley health mart pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.

Verify at the official NPI Registry.