Active NPI
Zean Pharmacy LLC
- Community/Retail Pharmacy
- Ellicott City, MD
National Provider Identifier
1538501945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P06039
- Legal business name
- ZEAN PHARMACY LLC
- Practice address
- 8801 Baltimore National Pike
Ste 11D
Ellicott City, MD 21043-4123 - Phone
- (410) 750-8700
- Fax
- (410) 750-8718
- NPI assigned
- Jul 26, 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
- Byung Jang
- Title
- Owner/Pharmacist
- Phone
- (410) 750-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P06039 | MD | Primary |
Addresses
Primary practice location
8801 Baltimore National Pike
Ste 11D
Ellicott City, MD 21043-4123
Mailing address
114 Clairedge CT
Severna Park, MD 21146-2921
Phone (410) 336-4211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141306 | Other | PK | |
| 442835800 | Medicaid | MD |
Other names 1
- Zean Pharmacy LLC
National Provider Directory
National Provider DirectoryLocations
8801 Baltimore National Pike
Ste 11D
Ellicott City, MD 21043
Phone (410) 750-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399248000000",
"number": "1538501945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CLAIREDGE CT",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462921",
"telephone_number": "410-336-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 BALTIMORE NATIONAL PIKE",
"address_2": "STE 11D",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434123",
"telephone_number": "410-750-8700",
"fax_number": "410-750-8718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEAN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-26",
"last_updated": "2014-05-05",
"status": "A",
"authorized_official_last_name": "JANG",
"authorized_official_first_name": "BYUNG",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "410-750-8700"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P06039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2141306",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "442835800",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Zean Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.