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Export Provider Record NPI 1124394432
Refua Pharmacy And Medical Supply Inc
Organization Subpart: NO
Active
NPI Number1124394432
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1124394432
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-03-30
Last Updated2023-01-09
Authorized OfficialAlexander Altshuler
Pharmacy Manager
Phone: 4105850055
Mailing Address6404 Reisterstown Rd
Baltimore, MD 21215-2308
United States
Phone: (410) 585-0055 | Fax: (410) 585-0222
📍 View Map
Primary Practice Address6404 Reisterstown Rd
Baltimore, MD 21215-2308
United States
Phone: (410) 585-0055 | Fax: (410) 585-0222
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2134600PK
MEDICAIDMD4240286
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy
No332B00000X – Durable Medical Equipment & Medical Supplies
Yes3336C0003X – Pharmacy, Community/Retail PharmacyMDP05671
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About NPI 1124394432

Refua Pharmacy And Medical Supply Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124394432. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Baltimore, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-03-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124394432?

NPI 1124394432 belongs to Refua Pharmacy And Medical Supply Inc, a Pharmacy, Community/Retail Pharmacy in Baltimore, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124394432 active?

The current status of NPI 1124394432 in the NPPES registry is Active. The record was last updated on 2023-01-09.

What specialty is NPI 1124394432?

NPI 1124394432 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124394432?

You can verify NPI 1124394432 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124394432?

The primary practice address on file for NPI 1124394432 is 6404 Reisterstown Rd, Baltimore, MD 21215-2308. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124394432 issued?

NPI 1124394432 was first issued (enumerated) on 2012-03-30. The NPPES record was last updated on 2023-01-09.

Practice Location Map

Refua Pharmacy And Medical Supply Inc is located at 6404 Reisterstown Rd, Baltimore, MD. Use the map below to find directions or verify the practice location.

📍 6404 Reisterstown Rd, Baltimore, MD 21215-2308  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Refua Pharmacy And Medical Supply Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124394432. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyP05671MD
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162