NPIMap

Organization Active NPI

Sarah786 Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1295037976
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
NRX0000846 Issued in DC
Legal business name
SARAH786 INC
Doing business as
PATTERSON PARK PHARMACY
Practice address
2245 Eastern Ave
Baltimore, MD 21231-3113
Phone
(410) 675-6046
Fax
(410) 563-1147
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Syed Shah
Title
President
Phone
(954) 288-5257

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHNR001430 GA
Community/Retail Pharmacy 3336C0003X 214001717 VA
Community/Retail Pharmacy 3336C0003X NRX0000846 DC Primary
Community/Retail Pharmacy 3336C0003X P05416 MD
Community/Retail Pharmacy 3336C0003X NP000629 PA
Compounding Pharmacy 3336C0004X 64001534A IN

Addresses

Primary practice location

2245 Eastern Ave
Baltimore, MD 21231-3113

Mailing address

2245 Eastern Ave
Baltimore, MD 21231-3113
Phone (410) 675-6046

Other identifiers 3

IdentifierTypeStateIssuer
2127929OtherPK
082807400MedicaidDC
420485900MedicaidMD

Other names 1

  • PATTERSON PARK PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1295037976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "SARAH786 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-288-5257"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHNR001430",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "214001717",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "NRX0000846",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05416",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "NP000629",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IN",
            "license": "64001534A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127929",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082807400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420485900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATTERSON PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 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.