Active NPI
Hanson Pharmacy
- Pharmacy
- Waldorf, MD
National Provider Identifier
1104160712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- P05807
- Legal business name
- HANSON PHARMACY
- Practice address
- 2110 Crain Hwy
Waldorf, MD 20601-3146 - Phone
- (301) 885-0430
- NPI assigned
- Nov 20, 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
- Phone
- (301) 233-4542
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | P05807 | MD | Primary |
| Community/Retail Pharmacy | 3336C0003X | P05807 | MD |
Addresses
Primary practice location
2110 Crain Hwy
Waldorf, MD 20601-3146
Mailing address
501 Harry S Truman Dr
Upper Marlboro, MD 20774-2060
Phone (301) 233-4542
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 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Greenbelt, MD
- NPI 1871815936
-
- Psychiatric/Mental Health Nurse Practitioner
- Waldorf, MD
- NPI 1437001617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353369600000",
"number": "1104160712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 HARRY S TRUMAN DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742060",
"telephone_number": "301-233-4542"
},
{
"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": "301-885-0430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANSON PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "KWAME",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-233-4542",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MD",
"license": "P05807",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P05807",
"primary": false
}
],
"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 Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.