Organization Active NPI

Steen Pharmacy, LLC

  • Pharmacy
  • Rosedale, MD
National Provider Identifier
1134628860
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P07431 Issued in MD
Legal business name
STEEN PHARMACY, LLC
Practice address
9106 Philadelphia Rd Ste 100
Rosedale, MD 21237-4331
Phone
(410) 687-8113
NPI assigned
Feb 8, 2018
Organization subpart
Yes
Parent organization
STEEN PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Christine Lee, PHARMD
Title
Owner
Phone
(410) 687-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P07431 MD Primary

Addresses

Primary practice location

9106 Philadelphia Rd Ste 100
Rosedale, MD 21237-4331

Mailing address

9106 Philadelphia Rd Ste 100
Rosedale, MD 21237-4331
Phone (410) 687-8113

Other identifiers 1

IdentifierTypeStateIssuer
207719100MedicaidMD

Other names 1

  • Professional Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steen Pharmacy LLC3 organizations share this tax ID, including this one
Part of
Steen Pharmacy LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9106 Philadelphia Rd
Ste 100
Rosedale, MD 21237
Phone (410) 687-8113

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1134628860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 100",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374331",
            "telephone_number": "410-687-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 100",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374331",
            "telephone_number": "410-687-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEEN PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEEN PHARMACY LLC",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-687-8113",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P07431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207719100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.