Active NPI
Rose Dominic Lu Sebastian
- Pharmacist
- Baltimore, MD
National Provider Identifier
1053178392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29341
- Practice address
- 10 N Greene St
Baltimore, MD 21201-1524 - Phone
- (443) 676-8599
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29341 | MD | Primary |
Addresses
Primary practice location
10 N Greene St
Baltimore, MD 21201-1524
Mailing address
20 Brantwood CT
Nottingham, MD 21236-7941
Phone (443) 676-8599
Other practice location 1
9106 Philadelphia Rd
Rosedale, MD 21237-4329
Phone (410) 687-8113
Other practice location 2
1776 York Rd
Lutherville, MD 21093-5606
Phone (410) 252-5247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29341 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1053178392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BRANTWOOD CT",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212367941",
"telephone_number": "443-676-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011524",
"telephone_number": "443-676-8599"
}
],
"practiceLocations": [
{
"address_1": "9106 Philadelphia Rd",
"address_purpose": "LOCATION",
"city": "Rosedale",
"state": "MD",
"postal_code": "212374329",
"country_code": "US",
"telephone_number": "410-687-8113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1776 York Rd",
"address_purpose": "LOCATION",
"city": "Lutherville",
"state": "MD",
"postal_code": "210935606",
"country_code": "US",
"telephone_number": "410-252-5247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "ROSE DOMINIC",
"middle_name": "LU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "29341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.