Organization Active NPI

The Johns Hopkins Hospital

Doing business as Johns Hopkins Outpatient Pharmacy at Holabird

  • Pharmacy
  • Baltimore, MD
National Provider Identifier
1679942510
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
THE JOHNS HOPKINS HOSPITAL
Doing business as
Johns Hopkins Outpatient Pharmacy at Holabird
Practice address
5901 Holabird Ave
Suite a-2
Baltimore, MD 21224-6015
Phone
(410) 288-6060
Fax
(410) 285-0149
NPI assigned
Sep 22, 2015
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
Daniel B Smith
Title
VP Finance/Cfo
Phone
(443) 997-1312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X P06974 MD

Addresses

Primary practice location

5901 Holabird Ave
Suite a-2
Baltimore, MD 21224-6015

Mailing address

5901 Holabird Ave
Suite a-2
Baltimore, MD 21224-6015
Phone (410) 288-6060

Other identifiers 1

IdentifierTypeStateIssuer
2139637OtherNCPDP

Other names 1

  • Johns Hopkins Outpatient Pharmacy at Holabird 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

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1679942510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 HOLABIRD AVE",
            "address_2": "SUITE A-2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246015",
            "telephone_number": "410-288-6060",
            "fax_number": "410-285-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HOLABIRD AVE",
            "address_2": "SUITE A-2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246015",
            "telephone_number": "410-288-6060",
            "fax_number": "410-285-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOHNS HOPKINS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "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"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2139637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johns Hopkins Outpatient Pharmacy at Holabird",
            "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.