NPIMap

Organization Active NPI

The Johns Hopkins Hospital

Doing business as Johns Hopkins Outpatient Pharmacy at Monument Street

  • Clinic Pharmacy
  • Baltimore, MD
National Provider Identifier
1609897784
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
P04439 Issued in MD
Legal business name
THE JOHNS HOPKINS HOSPITAL
Doing business as
Johns Hopkins Outpatient Pharmacy at Monument Street
Practice address
1810 E Monument St
Baltimore, MD 21205-2107
Phone
(410) 502-5735
Fax
(410) 502-5734
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Mr. Daniel B. Smith
Title
VP Finance/Cfo
Phone
(443) 997-1312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X P04439 MD Primary
Community/Retail Pharmacy 3336C0003X P04439 MD

Addresses

Primary practice location

1810 E Monument St
Baltimore, MD 21205-2107

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
4110927 00MedicaidMD
413424900MedicaidMD
2132962OtherMDNCPDP

Other names 1

  • Johns Hopkins Outpatient Pharmacy at Monument Street Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930037327 MD DME Supplier - Pharmacy 0749226272 Practice locations: Baltimore, MD
O20111024000058 MD Part B Supplier - Mass Immunization (Roster Biller Only) 0749226272 9 other NPIs on this enrollment
Practice locations: Baltimore, MD; Lutherville, MD

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Tax ID family
Johns Hopkins Bayview Medical Center37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Member organizations 11

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1609897784",
    "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": "1810 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052107",
            "telephone_number": "410-502-5735",
            "fax_number": "410-502-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOHNS HOPKINS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "443-997-1312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MD",
            "license": "P04439",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110927 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413424900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2132962",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johns Hopkins Outpatient Pharmacy at Monument Street",
            "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 May 17, 2017; 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.