NPIMap

Organization Active NPI

Antietam Health Services, Inc

Doing business as Home Care Infusion Services

  • Home Infusion Therapy Pharmacy
  • Hagerstown, MD
National Provider Identifier
1275697930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PW0108 Issued in MD
Legal business name
ANTIETAM HEALTH SERVICES, INC
Doing business as
Home Care Infusion Services
Practice address
11110 Medical Campus Rd
Suite 105
Hagerstown, MD 21742-6700
Phone
(301) 714-4020
Fax
(301) 714-4015
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael S Zampelli
Title
Ceo
Phone
(301) 665-4510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X D00749 MD
Home Infusion Therapy Pharmacy 3336H0001X PW0108 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd
Suite 105
Hagerstown, MD 21742-6700

Mailing address

11110 Medical Campus Rd
Suite 105
Hagerstown, MD 21742-6700
Phone (301) 714-4020

Other names 1

  • HOME CARE INFUSION SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Care Pharmacy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

11110 Medical Campus Rd
Ste 105
Hagerstown, MD 21742
Phone (301) 714-4000

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275697930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 105",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4020",
            "fax_number": "301-714-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 105",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4020",
            "fax_number": "301-714-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIETAM HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAMPELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-665-4510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MD",
            "license": "D00749",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MD",
            "license": "PW0108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME CARE INFUSION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.