Organization Active NPI

4 S Pharmacy Inc

  • Community/Retail Pharmacy
  • Bel Air, MD
National Provider Identifier
1295714947
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04338 Issued in MD
Legal business name
4 S PHARMACY INC
Practice address
615 W Macphail Rd
Suite 103
Bel Air, MD 21014-4309
Phone
(410) 638-7367
Fax
(410) 877-9199
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Stephen Tristani, RPHNPI 1831178474
Title
President Pharmacist
Phone
(410) 638-7367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P04338 MD Primary

Addresses

Primary practice location

615 W Macphail Rd
Suite 103
Bel Air, MD 21014-4309

Mailing address

615 W Macphail Rd
Suite 103
Bel Air, MD 21014-4309
Phone (410) 638-7367

Other identifiers 2

IdentifierTypeStateIssuer
2038093OtherPK
409106000MedicaidMD

Other names 1

  • MACPHAIL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

615 W Macphail Rd
Ste 1
Bel Air, MD 21014
Phone (410) 638-7367

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1295714947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "SUITE 103",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "410-638-7367",
            "fax_number": "410-877-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "SUITE 103",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "410-638-7367",
            "fax_number": "410-877-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "TRISTANI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "410-638-7367",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2038093",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409106000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACPHAIL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.