Organization Active NPI

H&M Specialty RX,Inc

  • Community/Retail Pharmacy
  • Chevy Chase, MD
National Provider Identifier
1770716482
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Aug 27, 2009

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191226001150 DC Part B Supplier - Mass Immunization (Roster Biller Only) 3779917893 Practice locations: Chevy Chase, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2155562H & M Specialty Dba Brookville Pharmacy & Wellness5454 Wisconsin Avenue Suite 400, Chevy Chase, MD 20815Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.