Active NPI
Habnael Inc
- Community/Retail Pharmacy
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HABNAEL INC
- Doing business as
- Greektown Pharmacy & Mini Mart
- Practice address
- 4501 Eastern Ave
Baltimore, MD 21224-4416 - Phone
- (202) 460-7703
- Fax
- (443) 941-9011
- NPI assigned
- Apr 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hiwot Fekade
- Title
- Manager
- Phone
- (443) 759-7062
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
4501 Eastern Ave
Baltimore, MD 21224-4416
Mailing address
4501 Eastern Ave
Baltimore, MD 21224-4416
Phone (443) 759-7062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362019100 | Medicaid | MD |
Other names 1
- Greektown Pharmacy & Mini Mart
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2317296 | Habnael Inc Dba Greektown Pharmacy & Mini Mart | Certificate of waiver | Jan 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
4501 Eastern Ave
Baltimore, MD 21224
Phone (202) 460-7703
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Washington, DC
- NPI 1750719324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1417453325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244416",
"telephone_number": "443-759-7062",
"fax_number": "443-941-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244416",
"telephone_number": "202-460-7703",
"fax_number": "443-941-9011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HABNAEL INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-02",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A",
"authorized_official_last_name": "FEKADE",
"authorized_official_first_name": "HIWOT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "443-759-7062",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362019100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Greektown Pharmacy & Mini Mart",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.