OrganizationActive
Frederick Villa Pharmacy LLC
NPI 1063105930 · Pharmacist · Baltimore, MD
Frederick Villa Pharmacy LLC is a Pharmacist organization in Baltimore, MD (NPI 1063105930).
Provider details
- NPI number
- 1063105930
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Uche Etunnuh, Member(443) 415-6313
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5411 Old Frederick Rd Ste 12
Baltimore, MD 21229-2126
Phone: (443) 251-2718
Street-level locationGet directions
Mailing address
5411 Old Frederick Rd Ste 12
Baltimore, MD 21229-2126
Registry dates
- Enumerated
- 2023-05-29
- Last updated
- 2023-05-29
- Certified
- 2023-05-27
Frequently asked questions
- What is Frederick Villa Pharmacy LLC's NPI number?
- Frederick Villa Pharmacy LLC's National Provider Identifier (NPI) is 1063105930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Frederick Villa Pharmacy LLC?
- Frederick Villa Pharmacy LLC is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Frederick Villa Pharmacy LLC located?
- Frederick Villa Pharmacy LLC's practice location on file with NPPES is 5411 Old Frederick Rd Ste 12, Baltimore, MD 21229-2126.
- What is Frederick Villa Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Frederick Villa Pharmacy LLC is (443) 251-2718.
- Who is the authorized official for Frederick Villa Pharmacy LLC?
- The authorized official listed on Frederick Villa Pharmacy LLC's NPPES record is Uche Etunnuh, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Frederick Villa Pharmacy LLC's NPI active?
- Yes — Frederick Villa Pharmacy LLC's NPI (1063105930) is active in the NPPES registry as of the last update on 2023-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.