NPIMap

Organization Active NPI

Healthsource Distributors, LLC

  • Pharmacy
  • Baltimore, MD
National Provider Identifier
1750032926
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HEALTHSOURCE DISTRIBUTORS, LLC
Practice address
7200 Rutherford Rd Ste 150
Baltimore, MD 21244-2743
Phone
(141) 065-3111
NPI assigned
Jan 10, 2022
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Jerry Wolasky
Title
President
Phone
(410) 653-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

7200 Rutherford Rd Ste 150
Baltimore, MD 21244-2743

Mailing address

7200 Rutherford Rd Ste 150
Baltimore, MD 21244-2743
Phone (141) 065-3111

National Provider Directory

National Provider Directory

Locations

7200 Rutherford Rd
Ste 150
Baltimore, MD 21244

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1750032926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 RUTHERFORD RD STE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442743",
            "telephone_number": "141-065-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 RUTHERFORD RD STE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442743",
            "telephone_number": "141-065-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE DISTRIBUTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "WOLASKY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-653-1113"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 10, 2022; 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.