FREDERICK VILLA PHARMACY LLC NPI 1063105930

NPI Information

  • NPI: 1063105930
  • Provider Name: FREDERICK VILLA PHARMACY LLC
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Address: 5411 OLD FREDERICK RD STE 12
    BALTIMORE, MD
    ZIP 21229
  • Phone: (443) 251-2718

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NPI Details

FREDERICK VILLA PHARMACY LLC is a pharmacist in Baltimore, MD. The provider is 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. FREDERICK VILLA PHARMACY LLC NPI is 1063105930. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5411 OLD FREDERICK RD STE 12
BALTIMORE, MD
ZIP 21229-126
Phone: (443) 251-2718

The provider's authorized official is Uche Etunnuh .
The authorized official title is Member and has the following contact phone number (443) 415-6313.

The enumeration date for this NPI number is 5/29/2023 and was last updated on 5/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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