Organization Active NPI

Hercol Inc

  • Community/Retail Pharmacy
  • Silver Spring, MD
National Provider Identifier
1003851205
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04363 Issued in MD
Legal business name
HERCOL INC
Practice address
1111 Spring St
Ste 110
Silver Spring, MD 20910-4003
Phone
(301) 495-7775
Fax
(301) 495-7760
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Hector Ayu, RPHNPI 1376578807
Title
Owner
Phone
(301) 495-7775

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 P04363 MD Primary

Addresses

Primary practice location

1111 Spring St
Ste 110
Silver Spring, MD 20910-4003

Mailing address

1111 Spring St
Ste 110
Silver Spring, MD 20910-4003
Phone (301) 495-7775

Other identifiers 2

IdentifierTypeStateIssuer
414841000MedicaidMD
2132847OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SERVICE CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1111 Spring St
Ste 110
Silver Spring, MD 20910
Phone (301) 495-7775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1003851205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SPRING ST",
            "address_2": "STE 110",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104003",
            "telephone_number": "301-495-7775",
            "fax_number": "301-495-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SPRING ST",
            "address_2": "STE 110",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104003",
            "telephone_number": "301-495-7775",
            "fax_number": "301-495-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERCOL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "AYU",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-495-7775",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414841000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2132847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICE CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.