NPIMap

Organization Active NPI

Dimensions Health Corporation

Doing business as UMMC Pharmacy at Capital Region

  • Pharmacy
  • Largo, MD
National Provider Identifier
1194310029
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DIMENSIONS HEALTH CORPORATION
Doing business as
UMMC Pharmacy at Capital Region
Practice address
901 Harry S Truman Dr N RM H-1N231
Largo, MD 20774-5477
Phone
(301) 618-2686
Fax
(240) 677-0014
NPI assigned
Mar 3, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Michael Brozic
Title
CRH Chief Financial Officer
Phone
(410) 913-1546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

901 Harry S Truman Dr N RM H-1N231
Largo, MD 20774-5477

Mailing address

901 Harry S Truman Dr N RM H-1N231
Largo, MD 20774-5477
Phone (301) 618-2686

Other names 1

  • UMMC Pharmacy at Capital Region Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL umms.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327001427 MD Part B Supplier - Pharmacy 3678474848 Practice locations: Largo, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bowie Health Center Phy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

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

Locations

3001 Hospital Dr
Rm 2005
Cheverly, MD 20785

901 Harry S Truman Dr N
Rm H1N231
Largo, MD 20774
Phone (301) 618-2686

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of Maryland Capital Region Medical CenterUpper Marlboro, MD, CCN 210003 Hospital 5% Or Greater Direct Ownership Interest Sep 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1194310029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HARRY S TRUMAN DR N RM H-1N231",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745477",
            "telephone_number": "301-618-2686",
            "fax_number": "240-677-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARRY S TRUMAN DR N RM H-1N231",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745477",
            "telephone_number": "301-618-2686",
            "fax_number": "240-677-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSIONS HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "BROZIC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CRH CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "410-913-1546"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "umms.org",
            "affiliation": "N",
            "address_1": "3001 Hospital Dr Rm 2005",
            "city": "Cheverly",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207851189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UMMC Pharmacy at Capital Region",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UMMC Pharmacy at Capital Region",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.