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PARK AVENUE PHARMACY
NPI 1821170614
Pharmacy - Community/Retail Pharmacy in Baltimore, MD

Active since October 20, 2006
1535 PARK AVE, BALTIMORE, MD 21217(410) 225-0800(410) 523-3434 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2017, Nov 16, 2016, Jun 20, 2016 and 1 more (4 updates tracked since 2015).

About Park Avenue Pharmacy NPPES

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

PARK AVENUE PHARMACY (NPI 1821170614) is a healthcare organization registered as a community/retail pharmacy in Baltimore, Maryland and active in the NPI registry since October 2006. The organization lists Syam Potluri, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1821170614
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVD & SR PHARMACY LLC
Location Address1535 PARK AVEBaltimore, MD 21217-4280
Mailing Address1535 Park AveBaltimore, MD 21217-4280 · (410) 225-0800 · Fax (410) 523-3434
Phone(410) 225-0800
Fax(410) 523-3434
Organization SubpartNo
Authorized OfficialSyam PotluriManaging Member · (443) 823-3350
Enumeration DateOctober 20, 2006
Last NPPES UpdateFebruary 15, 20174 updates tracked since enumeration
✔ NPI 1821170614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MD · P06708
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1535 PARK AVE, Baltimore, MD 21217
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Other Names 1

Doing Business AsPark Avenue Pharmacy

Other Identifiers 2

Medicaid991042600MD
Other2150056Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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.

STEVE MAVRONIS PHARMACIST
Pharmacist
1535 PARK AVE
BALTIMORE, MD 21217
Baltimore City (410) 225-0800
TARIQ SYED
Pharmacist
1535 PARK AVE
BALTIMORE, MD 21217
Baltimore City (410) 225-0800

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 Vd & Sr Pharmacy LLC's NPI number?

The NPI number for Vd & Sr Pharmacy LLC is 1821170614. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Park Avenue Pharmacy.

Where is Vd & Sr Pharmacy LLC located?

Vd & Sr Pharmacy LLC is located at 1535 Park Ave, Baltimore, MD 21217. The listed phone number is (410) 225-0800.

What is Vd & Sr Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Vd & Sr Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Vd & Sr Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vd & Sr Pharmacy LLC was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.