Active NPI
Tariq Syed
- Pharmacist
- Baltimore, MD
National Provider Identifier
1366965279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22208
- Practice address
- 1535 Park Ave
Baltimore, MD 21217-4280 - Phone
- (410) 225-0800
- NPI assigned
- Jul 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22208 | MD | Primary |
Addresses
Primary practice location
1535 Park Ave
Baltimore, MD 21217-4280
Mailing address
942 Hidden Moss Dr
Cockeysville, MD 21030-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22208 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VD & Sr Pharmacy LLC | Past | Accepting new patients | |
| JT Medical Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Park Avenue Pharmacy
- Community/Retail Pharmacy
- Baltimore, MD
- NPI 1821170614
-
- Case Manager/Care Coordinator
- Wauwatosa, WI
- NPI 1629390729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500768000000",
"number": "1366965279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 HIDDEN MOSS DR",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210305412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 PARK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212174280",
"telephone_number": "410-225-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYED",
"first_name": "TARIQ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-23",
"last_updated": "2017-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22208",
"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 Jul 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.