Organization Active NPI

Zean Pharmacy LLC

  • Community/Retail Pharmacy
  • Ellicott City, MD
National Provider Identifier
1538501945
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06039 Issued in MD
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

Updated by the provider on May 5, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2141306OtherPK
442835800MedicaidMD

Other names 1

  • Zean Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.