Organization Active NPI

Medstar Specialty Pharmacy, LLC

  • Community/Retail Pharmacy
  • Elkridge, MD
National Provider Identifier
1326680646
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDSTAR SPECIALTY PHARMACY, LLC
Practice address
7379 Washington Blvd Ste 101
Elkridge, MD 21075-6358
Phone
(410) 540-4400
NPI assigned
Oct 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Joseph Saracino
Title
Manager, Central Pharmacy Support
Phone
(410) 540-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

7379 Washington Blvd Ste 101
Elkridge, MD 21075-6358

Mailing address

7379 Washington Blvd Ste 101
Elkridge, MD 21075-6358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200914002974 MD Part B Supplier - Pharmacy 8224456835 Practice locations: Elkridge, MD
O20210311001713 MD DME Supplier - Pharmacy 8224456835 Practice locations: Elkridge, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medstar Specialty Pharmacy,LLC7379 Washington Blvd, Elkridge, MD 21075-6358(410) 540-4600 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) Accepts assignmentParticipating since Aug 19, 2020

National Provider Directory

National Provider Directory

Locations

7379 Washington Blvd
Ste 101
Elkridge, MD 21075
Phone (202) 779-0705

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": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1326680646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7379 WASHINGTON BLVD STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7379 WASHINGTON BLVD STE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756358",
            "telephone_number": "410-540-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "SARACINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER, CENTRAL PHARMACY SUPPORT",
        "authorized_official_telephone_number": "410-540-4600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.