Edenrx Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EDENRX PHARMACY LLC

Practice address

3819 Harbor Rd Unit 104
Chesapeake Beach, MD 20732-3110

Phone

(443) 906-3336

Fax

(443) 964-5938

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tolulope Dehinbo, PHARM.DNPI 1770824716

Title

Owner/Pharmacist

Phone

(907) 444-5833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Tolulope Dehinbo, PHARM.D

  • Pharmacist
  • Lusby, MD
  • NPI 1770824716
  NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1992406292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 HARBOR RD UNIT 104",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323110",
            "telephone_number": "443-906-3336",
            "fax_number": "443-964-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 HARBOR RD UNIT 104",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323110",
            "telephone_number": "443-906-3336",
            "fax_number": "443-964-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENRX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "DEHINBO",
        "authorized_official_first_name": "TOLULOPE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "907-444-5833",
        "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": []
}

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• Community/Retail Pharmacy in Chesapeake Beach, MD
• Providers in Chesapeake Beach, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.