Charm City Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CHARM CITY PHARMACY INC

Doing business as

Wellcare Pharmacy

Practice address

2203 N Charles St
Lower Level
Baltimore, MD 21218-5740

Phone

(410) 662-6000

Fax

(410) 662-6001

NPI assigned

Nov 8, 2013

Last updated

Nov 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Temitope O Gbolagun

Title

President

Phone

(410) 662-6000

Specialties & licenses 1

Addresses

Other names 1

• WELLCARE PHARMACY Doing business as

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1972932069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9476 FENS HOLW",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235732",
            "telephone_number": "410-662-6000",
            "fax_number": "410-662-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 N CHARLES ST",
            "address_2": "LOWER LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185740",
            "telephone_number": "410-662-6000",
            "fax_number": "410-662-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "GBOLAGUN",
        "authorized_official_first_name": "TEMITOPE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-662-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charm City Medical Center
• Charm City Medical Intensive Outpatient Program
• Charm City Natural Health
• Charm City Opioid Treatment
• Charm City Outpatient Treatment Level 1
• Charm City Primary Care, LLC
• Charm City Recovery LLC
• Charm City Wellness Collaborative, LLC
• Charm City Withdrawal Management
• Charm Counseling Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.