Active NPI
Casey L Hentz
- Pharmacist
- Abingdon, MD
National Provider Identifier
1104103647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17744
- Practice address
- 403 Constant Friendship Blvd
Abingdon, MD 21009-2566 - Phone
- (410) 670-9001
- NPI assigned
- Nov 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17744 | MD | Primary |
Addresses
Primary practice location
403 Constant Friendship Blvd
Abingdon, MD 21009-2566
Mailing address
197 Ferring CT
Abingdon, MD 21009-3206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1104103647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 FERRING CT",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210093206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 CONSTANT FRIENDSHIP BLVD",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210092566",
"telephone_number": "410-670-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTZ",
"first_name": "CASEY",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.