NPIMap

Organization Active NPI

Medstar Pharmacies Inc

Doing business as MedStar Pharmacy at Georgetown University Hospital

  • Community/Retail Pharmacy
  • Washington, DC
National Provider Identifier
1669511465
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RX1200014 Issued in DC
Legal business name
MEDSTAR PHARMACIES INC
Doing business as
MedStar Pharmacy at Georgetown University Hospital
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 444-3772
Fax
(202) 444-6476
NPI assigned
Feb 6, 2007
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Joe Saracino
Title
Manager, Administrative Services
Phone
(410) 540-4492

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RX1200014 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

PO Box 418869
Boston, MA 02241-8869
Phone (410) 540-4492

Other identifiers 3

IdentifierTypeStateIssuer
2125130OtherPK
059338500MedicaidDC
510471800MedicaidMD

Other names 1

  • MedStar Pharmacy at Georgetown University Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140915000249 DC Part B Supplier - Mass Immunization (Roster Biller Only) 1456470038 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, DC
O20170613000190 DC DME Supplier - Pharmacy 1456470038 Practice locations: Washington, DC

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medstar Pharmacies, Inc.3800 Reservoir Rd NW, Washington, DC 20007-2113(202) 444-3772 Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Medstar Pharmacies Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

7379 Washington Blvd
Elkridge, MD 21075
Phone (410) 540-4492

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1669511465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418869",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418869",
            "telephone_number": "410-540-4492",
            "fax_number": "410-579-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-3772",
            "fax_number": "202-444-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "SARACINO",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "MANAGER, ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "410-540-4492"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "RX1200014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125130",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059338500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510471800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar Pharmacy at Georgetown University Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.