Organization Active NPI

Masters Specilties LLC

  • Health Service Clinic/Center
  • Frederick, MD
National Provider Identifier
1194270611
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
19022 Issued in MD
Legal business name
MASTERS SPECILTIES LLC
Doing business as
MASTERS SPECIALTY PHARMACY
Practice address
1100 W Patrick St Ste a
Frederick, MD 21703-3903
Phone
(240) 651-5966
Fax
(240) 578-4980
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Mr. Emeka Kenneth Munonye, RPH
Title
Pharmacist in Charge
Phone
(310) 489-9982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 19022 MD Primary

Addresses

Primary practice location

1100 W Patrick St Ste a
Frederick, MD 21703-3903

Mailing address

1100 W Patrick St Ste a
Frederick, MD 21703-3903
Phone (240) 651-5966

Other names 1

  • MASTERS SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1100 W Patrick St
Ste A
Frederick, MD 21703
Phone (240) 651-5966

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1194270611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W PATRICK ST STE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033903",
            "telephone_number": "240-651-5966",
            "fax_number": "240-578-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W PATRICK ST STE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033903",
            "telephone_number": "240-651-5966",
            "fax_number": "240-578-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERS SPECILTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "MUNONYE",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "310-489-9982",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "19022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASTERS SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.