DDG Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01028 Issued in MD

Legal business name

DDG INC

Doing business as

WOODLAWN PHARMACY

Practice address

6328 Windsor Mill Rd
Baltimore, MD 21207-6051

Phone

(410) 944-4600

Fax

(410) 944-8455

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

David Grennfeld

Title

Secty

Phone

(410) 944-4600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WOODLAWN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1992782452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 WINDSOR MILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 WINDSOR MILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076051",
            "telephone_number": "410-944-4600",
            "fax_number": "410-944-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "GRENNFELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SECTY",
        "authorized_official_telephone_number": "410-944-4600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2106993",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2106993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODLAWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, 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 Jul 26, 2007; 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.