Sunbeam Reisterstown Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05078 Issued in MD

Legal business name

SUNBEAM REISTERSTOWN INC

Practice address

1708 Liberty Rd Ste 1
Eldersburg, MD 21784-6595

Phone

(410) 549-1499

Fax

(410) 549-1884

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Jalak Patel

Title

Pharmacist

Phone

(410) 549-1499

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eldersburg Health Mart Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1194054775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 LIBERTY RD STE 1",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846595",
            "telephone_number": "410-549-1499",
            "fax_number": "410-549-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 LIBERTY RD STE 1",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846595",
            "telephone_number": "410-549-1499",
            "fax_number": "410-549-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBEAM REISTERSTOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JALAK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-549-1499"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2134978",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027599900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldersburg Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Stefan, COTA/L
• Steven Billet, M.D.P.a.
• Karen Griffith Stinson, P.T.
• Jenifer Jean Strine, LCSW-C
• Sumanya Venkat Rao DDS PC
• T&L Optical Supply Inc.
• William George Tan, MD
• Lisa M Tarpley, LCPC
• Alfred Tetteh, MSN. CRNP, NP-C
• Kathleen Tewey

• Community/Retail Pharmacy in Eldersburg, MD
• Providers in Eldersburg, 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 Oct 28, 2010; 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.