NPIMap

Organization Active NPI

Pharmasap Inc

Doing business as Extracare Pharmacy

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1952477374
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
09734 Issued in MD
Legal business name
PHARMASAP INC
Doing business as
Extracare Pharmacy
Practice address
883 N Howard St
Baltimore, MD 21201-4605
Phone
(410) 332-4666
Fax
(410) 332-0298
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Mr. Abdulmojeed Adewale Lawal, PD
Title
Manager
Phone
(410) 332-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 09734 MD Primary

Addresses

Primary practice location

883 N Howard St
Baltimore, MD 21201-4605

Mailing address

883 N Howard St
Baltimore, MD 21201-4605
Phone (410) 332-4666

Other identifiers 1

IdentifierTypeStateIssuer
404419300MedicaidMD

Other names 1

  • EXTRACARE 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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1952477374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014605",
            "telephone_number": "410-332-4666",
            "fax_number": "410-332-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014605",
            "telephone_number": "410-332-4666",
            "fax_number": "410-332-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMASAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "LAWAL",
        "authorized_official_first_name": "ABDULMOJEED",
        "authorized_official_middle_name": "ADEWALE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-332-4666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "09734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404419300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXTRACARE 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 Nov 13, 2009; 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.