St Barnabas Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05595 Issued in MD

Legal business name

ST BARNABAS PHARMACY

Doing business as

ST.BARNABAS PHARMACY

Practice address

4311 Saint Barnabas Rd
Temple Hills, MD 20748-1833

Phone

(301) 456-2471

Fax

(301) 456-2473

NPI assigned

Sep 8, 2011

Organization subpart

No

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

Authorized official

Name

Ethelbert Ezekwu

Title

Pharmacist in Charge

Phone

(248) 996-3441

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ST.BARNABAS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1922389618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 ST.BARNABAS RD,",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "20748",
            "telephone_number": "301-456-2471",
            "fax_number": "301-456-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 SAINT BARNABAS RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481833",
            "telephone_number": "301-456-2471",
            "fax_number": "301-456-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BARNABAS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "EZEKWU",
        "authorized_official_first_name": "ETHELBERT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "248-996-3441"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "05595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST.BARNABAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Simmons, LMT
• Clair Smith-Parker
• Andrianna Deenay Smith
• Jamal Colin Smith
• Keme Lamar Smith
• Tahira Staten-Murphy
• Antonio Stephen Jr.
• Chanell Stewart, R.PH.
• Faith Jen'Tel Stewart
• Marty D Stout

• Community/Retail Pharmacy in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.