Active NPI
Richard CK Lam, RPH
- Pharmacist
- Baltimore, MD
National Provider Identifier
1194749945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08965
- Practice address
- 2245 Eastern Ave
Baltimore, MD 21231-3113 - Phone
- (410) 675-6046
- Fax
- (410) 563-1147
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 08965 | MD | Primary |
Addresses
Primary practice location
2245 Eastern Ave
Baltimore, MD 21231-3113
Mailing address
2804 Dana CT
Ellicott City, MD 21042-2500
Phone (410) 461-2113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152669 | Other | MD | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08965 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patterson Park Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Baltimore, MD
- NPI 1083711915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1194749945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 DANA CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422500",
"telephone_number": "410-461-2113",
"fax_number": "410-563-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212313113",
"telephone_number": "410-675-6046",
"fax_number": "410-563-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "RICHARD",
"middle_name": "CK",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "08965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "152669",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.