Organization Active NPI

Hanson Pharmacy

  • Community/Retail Pharmacy
  • Waldorf, MD
National Provider Identifier
1003165382
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3336C0003X Issued in MD
Legal business name
HANSON PHARMACY
Practice address
2110 Crain Hwy
Waldorf, MD 20601-3146
Phone
(301) 233-4542
NPI assigned
Sep 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Dr. Kwame HansonNPI 1871815936
Title
President/Manager
Phone
(240) 765-4436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2110 Crain Hwy
Waldorf, MD 20601-3146

Mailing address

9004 Machester Rd Apt
Silver Spring, MD 20901
Phone (240) 765-4436

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMD

National Provider Directory

National Provider Directory

Locations

2110 Crain Hwy
Waldorf, MD 20601
Phone (301) 233-4542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1003165382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 MACHESTER RD APT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20901",
            "telephone_number": "240-765-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013146",
            "telephone_number": "301-233-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-02",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "240-765-4436",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "3336C0003X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.