Organization Active NPI

Hillandale Pharmacy Inc

Doing business as Hillandale Pharmacy

  • Community/Retail Pharmacy
  • Silver Spring, MD
National Provider Identifier
1346333788
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P00324 Issued in MD
Legal business name
HILLANDALE PHARMACY INC
Doing business as
Hillandale Pharmacy
Practice address
10214 New Hampshire Ave
Silver Spring, MD 20903-1411
Phone
(301) 434-5100
Fax
(301) 439-2908
NPI assigned
Sep 30, 2006
Last updated
Apr 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Dave Lee
Title
Owner
Phone
(301) 434-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P00324 MD Primary

Addresses

Primary practice location

10214 New Hampshire Ave
Silver Spring, MD 20903-1411

Mailing address

10214 New Hampshire Ave
Silver Spring, MD 20903-1411
Phone (301) 434-5100

Other identifiers 2

IdentifierTypeStateIssuer
2033154OtherPK
986082700MedicaidMD

Other names 1

  • HILLANDALE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

10214 New Hampshire Ave
Silver Spring, MD 20903
Phone (301) 434-5100

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1346333788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031411",
            "telephone_number": "301-434-5100",
            "fax_number": "301-439-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031411",
            "telephone_number": "301-434-5100",
            "fax_number": "301-439-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLANDALE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-434-5100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P00324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033154",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "986082700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILLANDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.