SHOPRITE OF LIBERTY HEIGHTS, LLC
NPI 1306476106
Pharmacy - Clinic Pharmacy in Baltimore, MD

Active since January 21, 2020
4601 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21207(410) 367-1850 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shoprite Of Liberty Heights, Llc NPPES

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

SHOPRITE OF LIBERTY HEIGHTS, LLC (NPI 1306476106) is a healthcare organization registered as a clinic pharmacy in Baltimore, Maryland and active in the NPI registry since January 2020. The organization lists Frank Robert Henderson, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1306476106
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameSHOPRITE OF LIBERTY HEIGHTS, LLC
Location Address4601 LIBERTY HEIGHTS AVEBaltimore, MD 21207-7553
Mailing Address2101 Rock Spring RdForest Hill, MD 21050-2617 · (410) 420-8224
Organization SubpartNo
Authorized OfficialFrank Robert HendersonPharmacy Director · (410) 420-8220
Enumeration DateJanuary 21, 2020
NPI 1306476106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

4601 LIBERTY HEIGHTS AVE, Baltimore, MD 21207

Other Identifiers 1

Medicaid079663800MD

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Federally Qualified Health Center (FQHC))
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Pharmacy (Community/Retail Pharmacy)
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Family Medicine
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207

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 Shoprite Of Liberty Heights, LLC's NPI number?

The NPI number for Shoprite Of Liberty Heights, LLC is 1306476106. It was assigned to this organization in the NPPES registry on January 21, 2020.

Where is Shoprite Of Liberty Heights, LLC located?

Shoprite Of Liberty Heights, LLC is located at 4601 Liberty Heights Ave, Baltimore, MD 21207. The listed phone number is (410) 367-1850.

What is Shoprite Of Liberty Heights, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Shoprite Of Liberty Heights, LLC was last updated on January 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.