NPIMap

Organization Active NPI

Mergold Inc

  • Health Educator
  • Baltimore, MD
National Provider Identifier
1285012765
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
P02423 Issued in MD
Legal business name
MERGOLD INC
Practice address
1307 Francis Ave
Baltimore, MD 21227-3913
Phone
(410) 247-3344
Fax
(410) 247-9110
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
George D Garmer, RPH
Title
Owner/Vice President
Phone
(410) 247-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X P02423 MD Primary

Addresses

Primary practice location

1307 Francis Ave
Baltimore, MD 21227-3913

Mailing address

1307 Francis Ave
Baltimore, MD 21227-3913
Phone (410) 247-3344

Other identifiers 2

IdentifierTypeStateIssuer
405657400MedicaidMD
612048OtherMDDIABETES EDUCATION ACCREDITATIONPROGRAM / AADE

Other names 1

  • Halethorpe Pharmacy Diabetes Self Management Education Other name

National Provider Directory

National Provider Directory
Tax ID family
Mergold Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1285012765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FRANCIS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273913",
            "telephone_number": "410-247-3344",
            "fax_number": "410-247-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FRANCIS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273913",
            "telephone_number": "410-247-3344",
            "fax_number": "410-247-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERGOLD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "GARMER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "410-247-3344",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "MD",
            "license": "P02423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405657400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIABETES EDUCATION ACCREDITATIONPROGRAM / AADE",
            "identifier": "612048",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halethorpe Pharmacy Diabetes Self Management Education",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 15, 2015; 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.