EAST PINES PHARMACY LLC NPI 1386893642

NPI Information

  • NPI: 1386893642
  • Provider Name: EAST PINES PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: EAST PINES PHARMACY LLC
  • Address: 6003 66TH AVE
    RIVERDALE, MD
    ZIP 20737
  • Phone: (301) 459-6211

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NPI Details

EAST PINES PHARMACY LLC is a community/retail pharmacy pharmacy in Riverdale, MD. The provider is 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. EAST PINES PHARMACY LLC NPI is 1386893642. The provider is registered as an organization entity type.
The provider Is Doing Business As East Pines Pharmacy Llc.

The provider's business location address is:

6003 66TH AVE
RIVERDALE, MD
ZIP 20737-780
Phone: (301) 459-6211
Fax: (301) 459-6217

The provider's authorized official is Omotayo Awotunde .
The authorized official title is President and has the following contact phone number (301) 459-6211.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 3/10/2013.

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
13336S0011XPharmacySpecialty PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyP04821MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12134245OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2440047000MEDICAIDMARYLAND
36288560002MEDICARE NSCMARYLAND
46288560002MEDICARE NSC

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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