Organization Active NPI

Steen Pharmacy, LLC

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1568904613
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04404 Issued in MD
Legal business name
STEEN PHARMACY, LLC
Doing business as
Professional Pharmacy
Practice address
9106 Philadelphia Rd
Ste 100
Baltimore, MD 21237-4329
Phone
(410) 687-8113
Fax
(410) 391-3922
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Christine Lee
Title
Pharmd
Phone
(443) 717-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P04404 MD Primary

Addresses

Primary practice location

9106 Philadelphia Rd
Ste 100
Baltimore, MD 21237-4329

Mailing address

9106 Philadelphia Rd
Ste 100
Baltimore, MD 21237-4329
Phone (410) 687-8113

Other identifiers 1

IdentifierTypeStateIssuer
2166185OtherPK

Other names 1

  • Professional Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170620002022 MD Part B Supplier - Mass Immunization (Roster Biller Only) 4385912179 Practice locations: Rosedale, MD
O20171102003380 MD DME Supplier - Pharmacy 4385912179 Practice locations: Rosedale, MD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1568904613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD",
            "address_2": "STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374329",
            "telephone_number": "410-687-8113",
            "fax_number": "410-391-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD",
            "address_2": "STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374329",
            "telephone_number": "410-687-8113",
            "fax_number": "410-391-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEEN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "443-717-2373"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional 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 Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.