Active NPI
Sea Alliance LTD
- Community/Retail Pharmacy
- Bel Air, MD
National Provider Identifier
1821764069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SEA ALLIANCE LTD
- Practice address
- 208 Plumtree Rd Ste a
Bel Air, MD 21015-6056 - Phone
- (410) 670-3719
- NPI assigned
- Aug 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra Agyapong, PHARMD
- Title
- President
- Phone
- (410) 670-3719
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
208 Plumtree Rd Ste a
Bel Air, MD 21015-6056
Mailing address
9737 Harvester Cir
Perry Hall, MD 21128-9027
Phone (410) 670-3719
Other names 1
- Plumtree Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220627000204 | MD | Part B Supplier - Pharmacy | 2466831193 | Practice locations: Bel Air, MD |
National Provider Directory
National Provider Directory- Tax ID family
- Plumtree Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Bel Air, MD
- NPI 1235849522
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bel Air, MD
- NPI 1457780355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1821764069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9737 HARVESTER CIR",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289027",
"telephone_number": "410-670-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 PLUMTREE RD STE A",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156056",
"telephone_number": "410-670-3719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA ALLIANCE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "AGYAPONG",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-670-3719",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Plumtree Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.