Provider Demographics
NPI:1891773222
Name:RISHIK LLC
Entity Type:Organization
Organization Name:RISHIK LLC
Other - Org Name:JOHNSON FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:NAVEEN
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:KUNAPARAJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-879-9000
Mailing Address - Street 1:119 W BEL AIR AVE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-3221
Mailing Address - Country:US
Mailing Address - Phone:410-297-9400
Mailing Address - Fax:410-297-9415
Practice Address - Street 1:119 W BEL AIR AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3221
Practice Address - Country:US
Practice Address - Phone:410-297-9400
Practice Address - Fax:410-297-9415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0003X, 3336C0004X
MDP041173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP08433OtherSTATE
MD407142500Medicaid
MD407142500Medicaid