Zonetak Healthcare

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05648 Issued in MD

Legal business name

ZONETAK HEALTHCARE

Practice address

515 Fairmount Ave Ste 130
Towson, MD 21286-8520

Phone

(410) 363-8271

Fax

(410) 363-8273

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Nguegni Fobi-Takusi

Title

Director of Pharmacy

Phone

(410) 363-8271

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Zonetak Compounding Pharmacy Doing business as

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1942570601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 130",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868520",
            "telephone_number": "410-363-8271",
            "fax_number": "410-363-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 130",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868520",
            "telephone_number": "410-363-8271",
            "fax_number": "410-363-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZONETAK HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "FOBI-TAKUSI",
        "authorized_official_first_name": "NGUEGNI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "410-363-8271"
    },
    "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": "P05648",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051732100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zonetak Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Zimmerman
• Francesca Zink, PA-C
• Samantha Zipp Dowd, LCPC
• Anat Zirkin, PH.D.
• William Zitzmann, M.D.
• Kainat Zulqadar
• Bernhard Zunkeler, M.D.
• Stephanie Michelle Zureick, PA-C
• Elizabeth Zuzarte

• Community/Retail Pharmacy in Towson, MD
• Providers in Towson, 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 Jun 28, 2016; 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.