FREDERICK VILLA PHARMACY LLC
NPI 1063105930
Pharmacist in Baltimore, MD

Active since May 29, 2023
5411 OLD FREDERICK RD STE 12, BALTIMORE, MD 21229(443) 251-2718 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick Villa Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK VILLA PHARMACY LLC (NPI 1063105930) is a healthcare organization registered as a pharmacist in Baltimore, Maryland and active in the NPI registry since May 2023. The organization lists Uche Etunnuh, Member, as its authorized official.

NPPES Registry Identity

NPI1063105930
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameFREDERICK VILLA PHARMACY LLC
Location Address5411 OLD FREDERICK RD STE 12Baltimore, MD 21229-2126
Mailing Address5411 Old Frederick Rd Ste 12Baltimore, MD 21229-2126
Organization SubpartNo
Authorized OfficialUche EtunnuhMember · (443) 415-6313
Enumeration DateMay 29, 2023
NPPES CertifiedMay 27, 2023
NPI 1063105930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
5411 OLD FREDERICK RD STE 12, Baltimore, MD 21229

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
5411 OLD FREDERICK RD STE 12
BALTIMORE, MD 21229
Pharmacy (Community/Retail Pharmacy)
5411 OLD FREDERICK RD STE 12
BALTIMORE, MD 21229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Villa Pharmacy LLC's NPI number?

The NPI number for Frederick Villa Pharmacy LLC is 1063105930. It was assigned to this organization in the NPPES registry on May 29, 2023.

Where is Frederick Villa Pharmacy LLC located?

Frederick Villa Pharmacy LLC is located at 5411 Old Frederick Rd Ste 12, Baltimore, MD 21229. The listed phone number is (443) 251-2718.

What is Frederick Villa Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Frederick Villa Pharmacy LLC was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.