Active NPI
Hanson Pharmacy
- Community/Retail Pharmacy
- Waldorf, MD
National Provider Identifier
1003165382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3336C0003X
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kwame Hanson
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Greenbelt, MD
- NPI 1871815936
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
- Shannon L Hamm, LPC
- Kanika Hampton Bipat, M.D.
- Handson Diagnostics and Medical Suppliers LLC
- Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
- Heather Anne Hanlon, O.D.
- Hanson Pharmacy
- Harcart Health Holdings LLC (Righttime Medical Care)
- Vashon Hargrove
- Brandy Jennifer Harley, PTA
- Harmonyfirst Health Care LLC
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.