Individual provider Active NPI

Rose Dominic Lu Sebastian

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1053178392
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29341 Issued in MD
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

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
29341MDMDPharmacist

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.

Verify at the official NPI Registry.