Active NPI
Sequon, LLC
- Long Term Care Pharmacy
- Salisbury, MD
National Provider Identifier
1346670304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PO7526
- Legal business name
- SEQUON, LLC
- Practice address
- 505 E. Main Street
Salisbury, MD 21804 - Phone
- (410) 341-4710
- Fax
- (410) 341-4789
- NPI assigned
- Nov 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Hyun
- Title
- Ceo
- Phone
- (667) 408-7767
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | PO7526 | MD | |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | P06212 | MD | |
| Long Term Care Pharmacy | 3336L0003X | PO7526 | MD | Primary |
Addresses
Primary practice location
505 E. Main Street
Salisbury, MD 21804
Mailing address
40 Wight Ave Ste 100
Cockeysville, MD 21030-2148
Phone (667) 408-7767
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147074 | Other | PK | |
| 120397500 | Medicaid | MD | |
| 423035300 | Medicaid | MD |
Other names 1
- Altruix
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240913000938 | MD | Part B Supplier - Pharmacy | 3577586759 |
1 other NPI on this enrollment Practice locations: Annapolis, MD; Salisbury, MD |
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Sequon LLC
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
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- Long Term Care Pharmacy
- Salisbury, MD
- NPI 1528599677
-
- Long Term Care Pharmacy
- Frederick, MD
- NPI 1487680104
-
- Long Term Care Pharmacy
- Silver Spring, MD
- NPI 1841908084
-
- Clinic Pharmacy
- Columbia, MD
- NPI 1043531791
-
- Long Term Care Pharmacy
- Annapolis, MD
- NPI 1417832577
-
- Clinic Pharmacy
- Worthington, OH
- NPI 1134989312
-
- Long Term Care Pharmacy
- Vineland, NJ
- NPI 1235864448
-
- Long Term Care Pharmacy
- Huntingdon, PA
- NPI 1245194927
-
- Long Term Care Pharmacy
- Fredericksburg, VA
- NPI 1477387819
-
- Long Term Care Pharmacy
- Claymont, DE
- NPI 1285510990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1346670304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WIGHT AVE STE 100",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210302148",
"telephone_number": "667-408-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E. MAIN STREET",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-341-4710",
"fax_number": "410-341-4789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-12",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "HYUN",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "667-408-7767"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "MD",
"license": "PO7526",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MD",
"license": "P06212",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MD",
"license": "PO7526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2147074",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120397500",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "423035300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Altruix",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.