Organization Active NPI

Catonsvile P a Pharmacy Inc

Doing business as Professional Arts Pharmacy

  • Compounding Pharmacy
  • Baltimore, MD
National Provider Identifier
1740394725
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
P01022 Issued in MD
Legal business name
CATONSVILE P A PHARMACY INC
Doing business as
Professional Arts Pharmacy
Practice address
2015 Lord Baltimore Dr
Baltimore, MD 21244-2558
Phone
(443) 200-1200
Fax
(443) 200-1209
NPI assigned
Aug 18, 2006
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Simeon Georgiou
Title
Owner
Phone
(443) 200-1200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Compounding Pharmacy 3336C0004X P01022 MD Primary

Addresses

Primary practice location

2015 Lord Baltimore Dr
Baltimore, MD 21244-2558

Mailing address

2015 Lord Baltimore Dr
Baltimore, MD 21244-2558
Phone (443) 200-1200

Other identifiers 2

IdentifierTypeStateIssuer
2033771OtherPK
269331300MedicaidMD

Other names 1

  • PROFESSIONAL ARTS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2015 Lord Baltimore Dr
Windsor Mill, MD 21244
Phone (443) 200-1200

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1740394725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 LORD BALTIMORE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442558",
            "telephone_number": "443-200-1200",
            "fax_number": "443-200-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 LORD BALTIMORE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442558",
            "telephone_number": "443-200-1200",
            "fax_number": "443-200-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATONSVILE P A PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "GEORGIOU",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-200-1200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MD",
            "license": "P01022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033771",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269331300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL ARTS 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 Mar 6, 2017; 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.