VDNR PHARMACY LLC (NPI# 1568975464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568975464 |
| Entity Type | Organization |
| Organization Name | VDNR PHARMACY LLC |
| Other Organization Name | LIFELINE SPECIALTY PHARMACY |
| Practice Address |
3233 Corporate Ct Ellicott City MD 21042-2247 |
| Practice Telephone | 4102031010 |
| Practice Fax Number | 4102031515 |
| Mailing Telephone | 4102031010 |
| Mailing Fax Number | 4102031515 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | MR. RAJESHWER REDDY PINGILI (PRESIDENT) |
| Authorized Official Telephone | 4102031010 |
| Authorized Official Credential | MS, RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PW0513 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PERMIT NUMBER | PW0513 | 01 |
| Other Name | Type Code |
|---|---|
| LifeLine Specialty Pharmacy | Doing Business As Name - Organization |
| Street Address |
3233 CORPORATE CT |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519176 | Kare Met Pharmacy | Pharmacy | 12707 Hancock Ct, Upper Marlboro, MD 20774-5601 | 2020-05-10 |
| 1447894928 | Vaccine Valet | Pharmacy | 4600 N Park Ave Ste 220, Chevy Chase, MD 20815-7514 | 2019-10-29 |
| 1326680646 | Medstar Specialty Pharmacy, LLC | Pharmacy | 7379 Washington Blvd Ste 101, Elkridge, MD 21075-6358 | 2019-10-09 |
| 1124542634 | Green Pharmacy LLC | Pharmacy | 501 N Frederick Ave Ste 107b, Gaithersburg, MD 20877-2507 | 2017-07-27 |
| 1386893642 | East Pines Pharmacy LLC | Pharmacy | 6003 66th Ave, Riverdale, MD 20737-1780 | 2008-09-11 |
| 1942329990 | Twenty Four Hour Dependable Medical Supplies, LLC | Pharmacy | 1371 Brass Mill Rd Ste N, Belcamp, MD 21017-1239 | 2007-03-29 |
| 1396785861 | Procare Pharmacy LLC | Pharmacy | 11 S Eutaw St, Baltimore, MD 21201 | 2006-06-06 |
| 1821575200 | Caremetx Health, LLC | Pharmacy | 704 Quince Orchard Rd Ste 150, Gaithersburg, MD 20878-1787 | 2018-07-27 |
| 1346734464 | Koulward Health LLC Population Health Pharmacy | Pharmacy | 9 Aberdeen Shopping Plz, Aberdeen, MD 21001-2247 | 2018-06-21 |
| 1699264317 | Second Chance Behavioral Health Center LLC | Pharmacy | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-08 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.