Organization Active NPI

The Johns Hopkins Hospital

Doing business as Johns Hopkins Outpatient Pharmacy at Weinberg

  • Clinic Pharmacy
  • Baltimore, MD
National Provider Identifier
1578629168
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
P02433 Issued in MD
Legal business name
THE JOHNS HOPKINS HOSPITAL
Doing business as
Johns Hopkins Outpatient Pharmacy at Weinberg
Practice address
401 N Broadway St Ste 1001
Baltimore, MD 21287-0019
Phone
(410) 955-5747
Fax
(410) 502-1511
NPI assigned
Dec 28, 2006
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Pamela Tarris Owens
Title
Chief Compliance Officer
Phone
(410) 955-7930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X P02433 MD Primary
Community/Retail Pharmacy 3336C0003X P02433 MD

Addresses

Primary practice location

401 N Broadway St Ste 1001
Baltimore, MD 21287-0019

Mailing address

PO Box 418243
Boston, MA 02241-8243
Phone (443) 997-0001

Other identifiers 3

IdentifierTypeStateIssuer
2124446OtherMDNCPDP
4134257 00MedicaidMD
4125363 00MedicaidMD

Other names 1

  • Johns Hopkins Outpatient Pharmacy at Weinberg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000058 MD Part B Supplier - Mass Immunization (Roster Biller Only) 0749226272 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Lutherville, MD

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1578629168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418243",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418243",
            "telephone_number": "443-997-0001",
            "fax_number": "443-997-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROADWAY ST STE 1001",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870019",
            "telephone_number": "410-955-5747",
            "fax_number": "410-502-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOHNS HOPKINS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "TARRIS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "410-955-7930"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MD",
            "license": "P02433",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P02433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2124446",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4134257 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4125363 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johns Hopkins Outpatient Pharmacy at Weinberg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johns Hopkins Outpatient Pharmacy at Weinberg",
            "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 Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.