Organization Active NPI

Monument Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Baltimore, MD
National Provider Identifier
1477593127
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PW0190 Issued in MD
Legal business name
MONUMENT PHARMACY, INC.
Doing business as
MONUMENT PHARMACY
Practice address
2760 Lighthouse PT E Ste 110
Baltimore, MD 21224-5054
Phone
(410) 276-7586
Fax
(410) 276-7587
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Stephen Schonfeld, RPH
Title
President
Phone
(410) 276-7586

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X PW0190 MD Primary

Addresses

Primary practice location

2760 Lighthouse PT E Ste 110
Baltimore, MD 21224-5054

Mailing address

2760 Lighthouse PT E
Ste 110
Baltimore, MD 21224-5054
Phone (410) 276-7586

Other identifiers 2

IdentifierTypeStateIssuer
2032793OtherPK
405469500MedicaidMD

Other names 1

  • MONUMENT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2760 Lighthouse Pt E
Ste 110
Baltimore, MD 21224
Phone (410) 276-7586

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1477593127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 LIGHTHOUSE PT E",
            "address_2": "STE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245054",
            "telephone_number": "410-276-7586",
            "fax_number": "410-276-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 LIGHTHOUSE PT E STE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245054",
            "telephone_number": "410-276-7586",
            "fax_number": "410-276-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHONFELD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-276-7586",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032793",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405469500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONUMENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MONUMENT PHARMACY",
            "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 16, 2023; 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.