NPIMap

Organization Active NPI

RPHC LLC

Doing business as Reeds Pharmacy 3

  • Community/Retail Pharmacy
  • Hancock, MD
National Provider Identifier
1114065596
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO4323 Issued in MD
Legal business name
RPHC LLC
Doing business as
Reeds Pharmacy 3
Practice address
343 N Pennsylvania Ave
Hancock, MD 21750-1046
Phone
(301) 678-2930
Fax
(301) 678-2932
NPI assigned
Feb 1, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Craig Hatcher, PHARM DNPI 1821644253
Title
Officer
Phone
(301) 678-2932

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 PO4323 MD Primary

Addresses

Primary practice location

343 N Pennsylvania Ave
Hancock, MD 21750-1046

Mailing address

343 N Pennsylvania Ave
Hancock, MD 21750-1046
Phone (301) 678-2930

Other identifiers 3

IdentifierTypeStateIssuer
3810003576MedicaidWV
005492500MedicaidMD
1015233400001MedicaidPA

Other names 1

  • REEDS PHARMACY 3 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071207000403 MD Part B Supplier - Mass Immunization (Roster Biller Only) 4385733708 Practice locations: Hancock, MD
O20100930054152 MD DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 4385733708 Practice locations: Hancock, MD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

343 N Pennsylvania Ave
Hancock, MD 21750
Phone (301) 678-2930

Practitioners & affiliated clinicians

Practitioners 2

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1114065596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 N PENNSYLVANIA AVE",
            "city": "HANCOCK",
            "state": "MD",
            "postal_code": "217501046",
            "telephone_number": "301-678-2930",
            "fax_number": "301-678-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 N PENNSYLVANIA AVE",
            "city": "HANCOCK",
            "state": "MD",
            "postal_code": "217501046",
            "telephone_number": "301-678-2930",
            "fax_number": "301-678-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RPHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "301-678-2932",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PO4323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003576",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005492500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015233400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REEDS PHARMACY 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hancock, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.