NPIMap

Organization Active NPI

Austin Pharmacy Inc

Doing business as Austin Specialty Pharmacy

  • Community/Retail Pharmacy
  • Towson, MD
National Provider Identifier
1831527357
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06076 Issued in MD
Legal business name
AUSTIN PHARMACY INC
Doing business as
Austin Specialty Pharmacy
Practice address
901 Dulaney Valley Rd
Suite 300
Towson, MD 21204-2600
Phone
(410) 982-0800
Fax
(410) 982-0802
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Mr. John Wolk
Title
Owner
Phone
(410) 982-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P06076 MD Primary

Addresses

Primary practice location

901 Dulaney Valley Rd
Suite 300
Towson, MD 21204-2600

Mailing address

901 Dulaney Valley Rd
Suite 300
Towson, MD 21204-2600
Phone (410) 982-0800

Other identifiers 1

IdentifierTypeStateIssuer
545188400MedicaidMD

Other names 1

  • Austin Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austins Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

901 Dulaney Valley Rd
Ste 300
Towson, MD 21204
Phone (410) 982-0800

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1831527357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DULANEY VALLEY RD",
            "address_2": "SUITE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042600",
            "telephone_number": "410-982-0800",
            "fax_number": "410-982-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DULANEY VALLEY RD",
            "address_2": "SUITE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042600",
            "telephone_number": "410-982-0800",
            "fax_number": "410-982-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-982-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545188400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.