The Home Center Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Hancock, MD
NPI 1366484487 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1366484487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PO1451 (MD)
- Legal business name
- THE HOME CENTER PHARMACY INC
- Practice address
- 154 W Main St
Hancock, MD 21750-1432 - Phone
- (301) 678-5421
- Fax
- (301) 678-7399
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
Authorized official
- Name
- David Creek
- Title
- President
- Phone
- (301) 678-5421
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The Home Center Pharmacy |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930098522 | MD | DME Supplier - Pharmacy | 5496873671 | Practice locations: Hancock, MD |
| O20140208000032 | MD | Part B Supplier - Mass Immunization (Roster Biller Only) | 5496873671 | Practice locations: Hancock, MD |
National Provider Directory
Locations
154 W Main St
Hancock, MD 21750
Phone (301) 678-5421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PO1451 | MD | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
154 W Main St
Hancock, MD 21750-1432
Mailing address
154 W Main St
Hancock, MD 21750-1432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116235 | Other | OTHER ID NUMBER | |
| 286648000 | Medicaid | MD |
Other providers in Hancock, MD
- River Bend Family Medicine LLC
- RPHC LLC
- Ralph Thomas Salvagno
- Elijah Christopher Souders
- Tender Loving Home Care
- Tri-State Community Health Center, Inc
- War Memorial Hospital, Inc.
- War Memorial Hospital, Inc.
- War Memorial Hospital, Inc.
- Wheeler'S Optical Inc.
All providers in Hancock, MD · Community/Retail Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.