Active NPI
Masters Specilties LLC
- Health Service Clinic/Center
- Frederick, MD
National Provider Identifier
1194270611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 19022
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.