Active NPI
H&M Specialty RX,Inc
- Community/Retail Pharmacy
- Chevy Chase, MD
National Provider Identifier
1770716482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- H&M SPECIALTY RX,INC
- Practice address
- 5454 Wisconsin Ave
#400
Chevy Chase, MD 20815-6901 - Phone
- (301) 718-0900
- Fax
- (301) 718-0901
- NPI assigned
- Aug 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hossein Ejtemai, RPH
- Title
- Pharmacist/Manager
- Phone
- (301) 718-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
#400
Chevy Chase, MD 20815-6901
Mailing address
5454 Wisconsin Ave
#400
Chevy Chase, MD 20815-6901
Phone (301) 718-0900
Other names 1
- brookville pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191226001150 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779917893 | Practice locations: Chevy Chase, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2155562 | H & M Specialty Dba Brookville Pharmacy & Wellness | Certificate of waiver | Oct 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
5454 Wisconsin Ave
Ste 400
Chevy Chase, MD 20815
Phone (301) 718-0900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Chevy Chase, MD
- NPI 1487812731
-
- Pharmacist
- Chevy Chase, MD
- NPI 1497188098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1770716482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "#400",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-718-0900",
"fax_number": "301-718-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "#400",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-718-0900",
"fax_number": "301-718-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H&M SPECIALTY RX,INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "EJTEMAI",
"authorized_official_first_name": "HOSSEIN",
"authorized_official_title_or_position": "PHARMACIST/MANAGER",
"authorized_official_telephone_number": "301-718-0900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "brookville pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.