Active NPI
Dragonfly Hospice Pharmacy
- Pharmacy
- Hagerstown, MD
National Provider Identifier
1760114904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- DRAGONFLY HOSPICE PHARMACY
- Practice address
- 1710 Underpass Way Ste 301
Hagerstown, MD 21740-6975 - Phone
- (855) 358-7220
- Fax
- (833) 734-1175
- NPI assigned
- Jun 27, 2022
- Organization subpart
- Yes
- Parent organization
- DRAGONFLY HOSPICE PHARMACY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle J Mikus, PHARMD
- Title
- VP Pharmacy Services
- Phone
- (412) 403-4301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
1710 Underpass Way Ste 301
Hagerstown, MD 21740-6975
Mailing address
264 Smith Township State Rd Ste 5
Burgettstown, PA 15021-2124
Phone (724) 414-1425
National Provider Directory
National Provider Directory- Tax ID family
- Dragonfly Hospice Pharmacy
- Part of
- Dragonfly Hospice Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Bend, OR
- NPI 1598505521
Locations
1710 Underpass Way
Ste 301
Hagerstown, MD 21740
Phone (855) 358-7220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hagerstown, MD
- NPI 1255204491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656547200000",
"number": "1760114904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 SMITH TOWNSHIP STATE RD STE 5",
"city": "BURGETTSTOWN",
"state": "PA",
"postal_code": "150212124",
"telephone_number": "724-414-1425",
"fax_number": "855-445-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 UNDERPASS WAY STE 301",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406975",
"telephone_number": "855-358-7220",
"fax_number": "833-734-1175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAGONFLY HOSPICE PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DRAGONFLY HOSPICE PHARMACY",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A",
"authorized_official_last_name": "MIKUS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VP PHARMACY SERVICES",
"authorized_official_telephone_number": "412-403-4301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.