Organization Active NPI

Zonetak Healthcare and

  • Community/Retail Pharmacy
  • Owings Mills, MD
National Provider Identifier
1679888655
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05380 Issued in MD
Legal business name
ZONETAK HEALTHCARE AND
Doing business as
Zonetak Pharmacy
Practice address
10085 Red Run Blvd Ste 104
Owings Mills, MD 21117-4811
Phone
(410) 363-8271
Fax
(410) 363-8273
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Nguegni Fobi-Takusi
Title
Director of Pharmacy
Phone
(410) 363-8271

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P05380 MD Primary
Long Term Care Pharmacy 3336L0003X
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

10085 Red Run Blvd Ste 104
Owings Mills, MD 21117-4811

Mailing address

4200 Sihler Oaks TRL
Owings Mills, MD 21117-5006
Phone (410) 363-8271

Other identifiers 1

IdentifierTypeStateIssuer
2127189OtherPK

Other names 1

  • Zonetak Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1679888655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SIHLER OAKS TRL",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175006",
            "telephone_number": "410-363-8271",
            "fax_number": "410-363-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD STE 104",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174811",
            "telephone_number": "410-363-8271",
            "fax_number": "410-363-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZONETAK HEALTHCARE AND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "FOBI-TAKUSI",
        "authorized_official_first_name": "NGUEGNI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "410-363-8271"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05380",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zonetak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.