NPIMap

Organization Active NPI

Sarah786 Inc

Doing business as Patterson Park Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
National Provider Identifier
1912494360
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SARAH786 INC
Doing business as
Patterson Park Pharmacy
Practice address
2245 Eastern Ave
Baltimore, MD 21231-3113
Phone
(410) 675-6046
Fax
(410) 563-1147
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Syed Saleem Shah
Title
Owner
Phone
(410) 675-6046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2245 Eastern Ave
Baltimore, MD 21231-3113

Mailing address

2245 Eastern Ave
Baltimore, MD 21231-3113
Phone (410) 675-6046

Other names 1

  • Patterson Park 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": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1912494360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313113",
            "telephone_number": "410-675-6046",
            "fax_number": "410-563-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313113",
            "telephone_number": "410-675-6046",
            "fax_number": "410-563-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH786 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "SALEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-675-6046"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patterson Park 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 Apr 20, 2018; 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.