Organization Active NPI

Theracom LLC

  • Mail Order Pharmacy
  • Rockville, MD
National Provider Identifier
1265695852
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
THERACOM LLC
Practice address
9717 Key West Ave
Rockville, MD 20850-3982
Phone
(301) 337-4200
Fax
(301) 337-4135
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Ms. Sandy L. Campa
Title
Providership Supervisor
Phone
(800) 225-5967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

9717 Key West Ave
Rockville, MD 20850-3982

Mailing address

PO Box 840688
Dallas, TX 75284-0688
Phone (800) 225-5967

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1265695852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840688",
            "telephone_number": "800-225-5967",
            "fax_number": "909-799-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 KEY WEST AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503982",
            "telephone_number": "301-337-4200",
            "fax_number": "301-337-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "CAMPA",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PROVIDERSHIP SUPERVISOR",
        "authorized_official_telephone_number": "800-225-5967",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.