Organization Active NPI

Harrison Healthcare Inc

  • Long Term Care Pharmacy
  • Baltimore, MD
National Provider Identifier
1174538797
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PW0268 Issued in MD
Legal business name
HARRISON HEALTHCARE INC
Practice address
2328 N Charles St
Baltimore, MD 21218-5127
Phone
(410) 467-0634
Fax
(410) 467-0636
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Harrison Egbiremolen
Title
President
Phone
(410) 467-0634

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PW0268 MD Primary

Addresses

Primary practice location

2328 N Charles St
Baltimore, MD 21218-5127

Mailing address

2328 N Charles St
Baltimore, MD 21218-5127

Other identifiers 3

IdentifierTypeStateIssuer
007388100MedicaidMD
2132683OtherOTHER ID NUMBER
2132683OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

2328 N Charles St
Baltimore, MD 21218
Phone (410) 467-0634

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1174538797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185127",
            "telephone_number": "410-467-0634",
            "fax_number": "410-467-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "EGBIREMOLEN",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-467-0634"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007388100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2132683",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2132683",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.