1780973099 NPI number — MED RX LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780973099 NPI number — MED RX LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MED RX LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780973099
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7001 JOHNNYCAKE ROAD SUITE 100
Provider Second Line Business Mailing Address:
ROLLING ROAD PHARMACY
Provider Business Mailing Address City Name:
WINDSOR MILL
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-788-8149
Provider Business Mailing Address Fax Number:
410-788-8194

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7001 JOHNNYCAKE RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
WINDSOR MILL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21244-2418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-788-8149
Provider Business Practice Location Address Fax Number:
410-788-8194
Provider Enumeration Date:
04/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SALEEM
Authorized Official First Name:
ROOHI
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PHARMACY INCHARGE
Authorized Official Telephone Number:
410-788-8149

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  P05496 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com