Santa Monica Health Systems Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07422 Issued in MD

Legal business name

SANTA MONICA HEALTH SYSTEMS INC

Practice address

4300 Belair Rd Ste E
Baltimore, MD 21206-6300

Phone

(410) 617-0116

Fax

(443) 388-8139

NPI assigned

Feb 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aloysius IbeNPI 1881984359

Title

President

Phone

(443) 798-0556

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Santa Monica Pharmacy and Medical Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aloysius C Ibe, DR.PH

  • Pharmacist
  • Baltimore, MD
  • NPI 1881984359
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1003354432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AMYS WAY CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "443-798-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BELAIR RD STE E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066300",
            "telephone_number": "410-617-0116",
            "fax_number": "443-388-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "IBE",
        "authorized_official_first_name": "ALOYSIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-798-0556"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07422",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167894",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524138300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Monica Pharmacy and Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zianab Sankoh, DOULA
• Karli Alexandra Sanon
• Charles A Sansur, MD
• Paola A. Sansur, MD
• Anna Khruzette C. Santa Clara, P.T.
• Cesar Augusto Santa-Maria, MD
• Cicely Tanisha Santa, LMSW
• Laina Santamaria, LCSW-C
• Diana Santana Rodriguez, RN
• Ciro Andres Santana Seda

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.