EDWARDS PHARMACY – NPI #1184723942
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

EDWARDS PHARMACY is a pharmacy located in CENTREVILLE, MD. NPPES has assigned the NPI number 1184723942 to EDWARDS PHARMACY on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EDWARDS PHARMACY” is a dba name, the actual legal business name for this organization is CENTREVILLE DRUGS INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 7 years ago on Jan 18, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARDS PHARMACY below.

NPI Profile for
CENTREVILLE DRUGS INC

NPI Number
1184723942
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTREVILLE DRUGS INC
Doing Business As (dba): EDWARDS PHARMACY
Primary location
102 COMMERCE STREET
CENTREVILLE, MD 21617
Phone: (410) 758-1715 Fax: (410) 758-3112
Mailing address
102 S COMMERCE ST
CENTREVILLE, MD 21617-1116
Phone: (410) 758-1715 Fax: (410) 758-1714
Organization Subpart
No
Authorized Official
SHALENDRA CHERUKURI
VICE PRESIDENT
Phone: (410) 758-1715
Updated
Identifiers

Identifiers for EDWARDS PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROTHER ID NUMBER-COMMERCIAL NUMBER2104913
MEDICAIDMD013917300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.