NPIMap

Organization Active NPI

Target

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1336540301
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22738 Issued in MD
Legal business name
TARGET
Practice address
1040 Deer Ridge Dr
Baltimore, MD 21210-2558
Phone
(267) 664-4267
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Jessy Edouard
Title
Pharmacist
Phone
(267) 664-4267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 22738 MD Primary

Addresses

Primary practice location

1040 Deer Ridge Dr
Baltimore, MD 21210-2558

Mailing address

1040 Deer Ridge Dr
Baltimore, MD 21210-2558
Phone (267) 664-4267

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1336540301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DEER RIDGE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102558",
            "telephone_number": "267-664-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DEER RIDGE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102558",
            "telephone_number": "267-664-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "EDOUARD",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "267-664-4267",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "22738",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 10, 2014; 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.