Hana Pharmacy Ellicott City

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06909 Issued in MD

Legal business name

HANA PHARMACY ELLICOTT CITY

Practice address

3301 N Ridge Rd
Ellicott City, MD 21043-7500

Phone

(410) 461-1333

Fax

(410) 461-1339

NPI assigned

Jul 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Heedo KongNPI 1497622963

Title

President

Phone

(410) 461-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HANA PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heedo Kong

  • Pharmacist
  • Ellicott City, MD
  • NPI 1497622963
  NPD (past) Authorized official
• Eunice Choi

  • Pharmacist
  • Ellicott City, MD
  • NPI 1801487806
  NPD (past)

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1477937506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N RIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437500",
            "telephone_number": "410-461-1333",
            "fax_number": "410-461-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N RIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437500",
            "telephone_number": "410-461-1333",
            "fax_number": "410-461-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA PHARMACY ELLICOTT CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "HEEDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-461-1333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096779300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Halliburton Family Dentistry
• Denise Vivian Halliburton, DDS
• Constance Halligan, PH.D.
• Si Si Han, PHD, ABPP
• Sung Soon Han, PHD
• Caitlin Hancock, LCSW-C
• Handy BBMT Inc
• Claire Hanlein, MPT
• Kimberly Denise Hanson, DPT
• Brie Hardeman, LMSW

• Community/Retail Pharmacy in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.