Organization Active NPI

Austin Pharmacy Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1972606978
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01511 Issued in MD
Legal business name
AUSTIN PHARMACY INC
Practice address
6729 York Rd
Baltimore, MD 21212-1806
Phone
(410) 377-5300
Fax
(410) 377-5302
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
John Wolk, RPH
Title
Owner
Phone
(410) 377-5300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P01511 MD Primary

Addresses

Primary practice location

6729 York Rd
Baltimore, MD 21212-1806

Mailing address

6729 York Rd
Baltimore, MD 21212-1806
Phone (410) 377-5300

Other identifiers 3

IdentifierTypeStateIssuer
023883001MedicaidMD
2034345OtherPK
545188400MedicaidMD

Other names 1

  • Austin Pharmacy & Medical Supplies 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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1972606978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121806",
            "telephone_number": "410-377-5300",
            "fax_number": "410-377-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121806",
            "telephone_number": "410-377-5300",
            "fax_number": "410-377-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-377-5300",
        "authorized_official_credential": "RPH"
    },
    "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": "P01511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023883001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034345",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545188400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Pharmacy & Medical Supplies",
            "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 Feb 20, 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.