Medoville Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDOVILLE PHARMACY INC.

Practice address

12821 Oak Hill Ave
Hagerstown, MD 21742-2940

Phone

(301) 378-2334

Fax

(240) 715-9199

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Siham Bensalah

Title

President

Phone

(301) 378-2334

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1689122483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN",
            "address_2": "STE 106",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024059",
            "telephone_number": "301-378-2334",
            "fax_number": "240-715-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 OAK HILL AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422940",
            "telephone_number": "301-378-2334",
            "fax_number": "240-715-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDOVILLE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "BENSALAH",
        "authorized_official_first_name": "SIHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-378-2334"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Practices of Antietam, LLC
• Medical Practices of Antietam, LLC
• Andrea M Medina, LMSW
• Dawn Tracey Medina, RPH
• Tamara Medina
• Medstar Health Weight Management, LLC
• Medstar Health Weight Management, LLC
• Medstar Health Weight Management, LLC
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC

• Community/Retail Pharmacy in Hagerstown, MD
• Providers in Hagerstown, 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, 2016; 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.