NPIMap

Organization Active NPI

Sticks R US LLC

  • Clinic/Center
  • Middle River, MD
National Provider Identifier
1669130084
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STICKS R US LLC
Practice address
1515 Martin Blvd Ste 108
Middle River, MD 21220-4103
Phone
(800) 354-8935
Fax
(443) 231-6767
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Vanessa SabastroNPI 1518559152
Title
Owner
Phone
(800) 354-8935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1515 Martin Blvd Ste 108
Middle River, MD 21220-4103

Mailing address

1515 Martin Blvd Ste 108
Middle River, MD 21220-4103
Phone (800) 354-8935

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL you@sticksrus.org Direct

National Provider Directory

National Provider Directory

Locations

1515 Martin Blvd
Ste 108
Middle River, MD 21220
Phone (800) 353-8935

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1669130084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MARTIN BLVD STE 108",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204103",
            "telephone_number": "800-354-8935",
            "fax_number": "443-231-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MARTIN BLVD STE 108",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204103",
            "telephone_number": "800-354-8935",
            "fax_number": "443-231-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STICKS R US LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "SABASTRO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-354-8935"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "you@sticksrus.org",
            "affiliation": "N",
            "endpointDescription": "Sticks R Us LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1515 Martin Blvd Ste 108",
            "city": "Middle River",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212204103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.