NPIMap

Organization Active NPI

Medstar Pharmacies, Inc.

Doing business as MedStar Pharmacy Vaccination Program

  • Pharmacy
  • Baltimore, MD
National Provider Identifier
1396069423
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MEDSTAR PHARMACIES, INC.
Doing business as
MedStar Pharmacy Vaccination Program
Practice address
5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Phone
(443) 444-4760
Fax
(443) 444-4726
NPI assigned
Mar 18, 2010
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Joseph A. Saracino
Title
Manager, Central Pharmacy Support
Phone
(410) 540-4492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Baltimore, MD 21239-2950

Mailing address

7379 Washington Blvd
Elkridge, MD 21075-6358
Phone (410) 540-4492

Other names 1

  • MedStar Pharmacy Vaccination Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medstar Pharmacies Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1396069423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7379 WASHINGTON BLVD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756358",
            "telephone_number": "410-540-4492",
            "fax_number": "410-579-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392950",
            "telephone_number": "443-444-4760",
            "fax_number": "443-444-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "SARACINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER, CENTRAL PHARMACY SUPPORT",
        "authorized_official_telephone_number": "410-540-4492"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar Pharmacy Vaccination Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2024; 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.