NPIMap

Organization Active NPI

The Johns Hopkins Hospital

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1710342464
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07682 Issued in MD
Legal business name
THE JOHNS HOPKINS HOSPITAL
Practice address
600 N. Wolfe St, Carnegie Building, 2ND FL., Room 224
Baltimore, MD 21287
Phone
(443) 287-1744
Fax
(443) 287-1744
NPI assigned
Dec 23, 2015
Last updated
Apr 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Mitra Gavgani
Title
VP, Phcy Services, Ao
Phone
(410) 288-8766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07682 MD Primary

Addresses

Primary practice location

600 N. Wolfe St, Carnegie Building, 2ND FL., Room 224
Baltimore, MD 21287

Mailing address

PO Box 418243
Boston, MA 02241-2145
Phone (410) 288-8060

Other identifiers 1

IdentifierTypeStateIssuer
2160282OtherPK

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 2

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

Locations

5901 Holabird Ave
Ste A2
Baltimore, MD 21224
Phone (410) 288-6000

600 N Wolfe St
Bldg 2ND
Baltimore, MD 21287

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1710342464",
    "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": "022412145",
            "telephone_number": "410-288-8060",
            "fax_number": "410-367-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. WOLFE ST, CARNEGIE BUILDING, 2ND FL., ROOM 224",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21287",
            "telephone_number": "443-287-1744",
            "fax_number": "443-287-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOHNS HOPKINS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "GAVGANI",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "VP, PHCY SERVICES, AO",
        "authorized_official_telephone_number": "410-288-8766"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 19, 2018; 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.