Organization Active NPI

Hope-Well Pharmacy Cleveland LLC

Doing business as Express Pharmacy

  • Pharmacy
  • Hagerstown, MD
National Provider Identifier
1356706758
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P07062 Issued in MD
Legal business name
HOPE-WELL PHARMACY CLEVELAND LLC
Doing business as
Express Pharmacy
Practice address
201 S Cleveland Ave Ste 101
Hagerstown, MD 21740-5758
Phone
(240) 513-6991
Fax
(240) 513-6992
NPI assigned
Dec 30, 2015
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Trung Vu, BS. RPH
Title
President
Phone
(301) 676-5876

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P07062 MD Primary
Community/Retail Pharmacy 3336C0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

201 S Cleveland Ave Ste 101
Hagerstown, MD 21740-5758

Mailing address

117 Ivy Hill Dr
Middletown, MD 21769-8135
Phone (301) 676-5876

Other identifiers 2

IdentifierTypeStateIssuer
105126100MedicaidMD
2156206OtherPK

Other names 1

  • Express Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1356706758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 IVY HILL DR",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698135",
            "telephone_number": "301-676-5876",
            "fax_number": "240-513-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CLEVELAND AVE STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405758",
            "telephone_number": "240-513-6991",
            "fax_number": "240-513-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE-WELL PHARMACY CLEVELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-676-5876",
        "authorized_official_credential": "BS. RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P07062",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105126100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy",
            "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 Feb 28, 2017; 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.