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1780495408 NPI number — MEDSTAR PHARMACIES INC

NPI Number: 1780495408
Health Care Provider/Practitioner: MEDSTAR PHARMACIES INC

Information about “1780495408” NPI (MEDSTAR PHARMACIES INC) exists in 1780495408 in HTML format HTML  |  1780495408 in plain Text format TXT  |  1780495408 in PDF (Portable Document Format) PDF  |  1780495408 in an XML format XML  formats.

NPI Number : 1780495408 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780495408",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MEDSTAR PHARMACIES INC",
    "ParentOrgTIN": null,
    "OrgName": "MEDSTAR PHARMACIES INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7379 WASHINGTON BLVD STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELKRIDGE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21075-6358",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-540-4492",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5601 LOCH RAVEN BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21239-2950",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-444-4760",
    "PracticeLocationAddressFaxNumber": "443-444-4726",
    "EnumerationDate": "01/14/2025",
    "LastUpdateDate": "01/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SARACINO",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER, CENTRAL PHARMACY SUPPORT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "410-540-4492",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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