Active NPI
Theracom LLC
- Mail Order Pharmacy
- Rockville, MD
National Provider Identifier
1265695852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.