Organization Active NPI

PTR Inc.

  • Community/Retail Pharmacy
  • Pasadena, MD
National Provider Identifier
1083705305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01305 Issued in MD
Legal business name
PTR INC.
Practice address
2932 Mountain Rd
Pasadena, MD 21122-2014
Phone
(410) 255-6000
Fax
(410) 360-2107
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Petr, P.D.
Title
President/Owner
Phone
(410) 255-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P01305 MD Primary

Addresses

Primary practice location

2932 Mountain Rd
Pasadena, MD 21122-2014

Mailing address

743 S Conkling St
Baltimore, MD 21224-4302
Phone (410) 327-7252

Other names 1

  • Pasadena Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2932 Mountain Rd
Pasadena, MD 21122
Phone (410) 255-6000

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083705305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 S CONKLING ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244302",
            "telephone_number": "410-327-7252",
            "fax_number": "410-563-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 MOUNTAIN RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222014",
            "telephone_number": "410-255-6000",
            "fax_number": "410-360-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "410-255-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.