Provider Demographics
NPI:1508730326
Name:NDVR PHARMACY LLC
Entity type:Organization
Organization Name:NDVR PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJESHWER
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:PINGILI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RPH
Authorized Official - Phone:410-979-7732
Mailing Address - Street 1:3233 CORPORATE CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2247
Mailing Address - Country:US
Mailing Address - Phone:410-205-1777
Mailing Address - Fax:410-205-1177
Practice Address - Street 1:3233 CORPORATE CT
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2247
Practice Address - Country:US
Practice Address - Phone:410-205-1777
Practice Address - Fax:410-205-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy