NPIMap

Organization Active NPI

Dragonfly Hospice Pharmacy

  • Pharmacy
  • Hagerstown, MD
National Provider Identifier
1760114904
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DRAGONFLY HOSPICE PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Dr. Michelle J Mikus, PHARMDNPI 1184246589
Title
VP Pharmacy Services
Phone
(412) 403-4301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Pharmacy2 organizations share this tax ID, including this one
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.

Locations

1710 Underpass Way
Ste 301
Hagerstown, MD 21740
Phone (855) 358-7220

264 Smith Township State Rd
Ste 5
Burgettstown, PA 15021
Phone (724) 414-1425

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.