Organization Active NPI

House of Arnold

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1801038690
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04785 Issued in MD
Legal business name
HOUSE OF ARNOLD
Practice address
4109 Annapolis Rd
Baltimore, MD 21227-3605
Phone
(410) 636-1035
Fax
(866) 736-0213
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Mrs. Sherine R Joseph, RPHNPI 1013675545
Title
Pharmacist in Charge/Owner
Phone
(410) 636-1035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X
Community/Retail Pharmacy 3336C0003X P04785 MD Primary

Addresses

Primary practice location

4109 Annapolis Rd
Baltimore, MD 21227-3605

Mailing address

4109 Annapolis Rd
Baltimore, MD 21227-3605
Phone (410) 636-1035

Other identifiers 1

IdentifierTypeStateIssuer
021520100MedicaidMD

Other names 1

  • Baltimore Highlands Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014000155 MD Part B Supplier - Pharmacy 7012337066 Practice locations: Halethorpe, 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
21D2195071Baltimore Highlands Pharmacy4109 Annapolis Road, Baltimore, MD 21227Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

4109 Annapolis Rd
Halethorpe, MD 21227
Phone (410) 636-1035

Practitioners & affiliated clinicians

Practitioners 1

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": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1801038690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 ANNAPOLIS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273605",
            "telephone_number": "410-636-1035",
            "fax_number": "866-736-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 ANNAPOLIS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273605",
            "telephone_number": "410-636-1035",
            "fax_number": "866-736-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF ARNOLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "410-636-1035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021520100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baltimore Highlands Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 22, 2022; 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.