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Sinai Hospital of Baltimore Inc

Organization Active NPI Community/Retail Pharmacy · Baltimore, MD

NPI 1598040073 · NPPES record last updated Jan 28, 2022

Key facts

NPI
1598040073
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
P05585 (MD)
Legal business name
SINAI HOSPITAL OF BALTIMORE INC
Practice address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone
(410) 601-7100
Fax
(410) 601-7131
NPI assigned
Oct 17, 2011
Organization subpart
No

Authorized official

Name
Rose Jose, PHARM D.
Title
Coo, Outpatient Pharmacy Services
Phone
(410) 701-4531

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

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

Practitioners 373

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 373

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20151019001081 MD Part B Supplier - Mass Immunization (Roster Biller Only) 0941112346 Practice locations: Baltimore, MD
O20160804002709 MD DME Supplier - Pharmacy 0941112346 Practice locations: Baltimore, MD

National Provider Directory

Tax ID family
Benjamin V Dubois (359 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P05585 MD Yes

Addresses

Primary practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Mailing address

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-7100

Other identifiers

IdentifierTypeStateIssuer
2131805OtherPK
550605100MedicaidMD

Other names

  • The LifeBridge Pharmacy at Sinai Hospital Other name

Other providers in Baltimore, MD

All providers in Baltimore, MD · Community/Retail Pharmacy in Maryland

Sources for this page

Verify at the official NPI Registry.