NPIMap

Organization Active NPI

St. Agnes Healthcare, Inc.

  • Pharmacy
  • Baltimore, MD
National Provider Identifier
1659919728
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ST. AGNES HEALTHCARE, INC.
Doing business as
St. Agnes Community Pharmacy
Practice address
900 S. Caton Avenue
First Floor
Baltimore, MD 21229
Phone
(667) 234-2550
Fax
(667) 234-7917
NPI assigned
Dec 19, 2019
Organization subpart
Yes
Parent organization
ST. AGNES HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Mr. Scott Furniss, CPA
Title
Sr. VP/Chief Financial Officer
Phone
(667) 234-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

900 S. Caton Avenue
First Floor
Baltimore, MD 21229

Mailing address

900 S. Caton Avenue
First Floor
Baltimore, MD 21229
Phone (667) 234-2550

Other names 1

  • St. Agnes Community Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seton Medical Group41 organizations share this tax ID, including this one
Part of
Seton Medical Group

Other organizations with this tax ID 40

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

View all 40

Locations

900 S Caton Ave
Fl First
Baltimore, MD 21229
Phone (667) 234-2550

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1659919728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S. CATON AVENUE",
            "address_2": "FIRST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "667-234-2550",
            "fax_number": "667-234-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S. CATON AVENUE",
            "address_2": "FIRST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "667-234-2550",
            "fax_number": "667-234-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AGNES HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. AGNES HEALTHCARE, INC.",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "FURNISS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SR. VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "667-234-3130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Agnes Community 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 Dec 19, 2019; 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.