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Middle River Pharmacy LLC

NPI 1275115503ActiveOrganization· Pharmacy· Middle River, MD

Pharmacy in Middle River, Maryland, registered in NPPES in April 2021. The authorized official on file is Ajay Khanna, President. Medicare paid $2,459 for services to 14 patients in 2024.

Overview

NPI1275115503
StatusActive
Entity typeOrganization
NPI issuedApr 26, 2021
Last updated in NPPESApr 26, 2021
Certified by providerApr 26, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients14
Services billed36 across 7 procedure codes
Paid by Medicare$2,459

Medicare sources and data years

Other pharmacies in Middle River

All pharmacies in Maryland