NPIMap

Organization Active NPI

Walnut Street Community Health Center, Inc.

Doing business as Family Healthcare Pharmacy

  • Community/Retail Pharmacy
  • Hagerstown, MD
National Provider Identifier
1871234294
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WALNUT STREET COMMUNITY HEALTH CENTER, INC.
Doing business as
Family Healthcare Pharmacy
Practice address
201 S Cleveland Ave
Suite 101
Hagerstown, MD 21740-5758
Phone
(301) 745-3777
Fax
(301) 393-3476
NPI assigned
Apr 7, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WALNUT STREET COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Kimberly Z Murdaugh
Title
Executive Director
Phone
(301) 745-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

201 S Cleveland Ave
Suite 101
Hagerstown, MD 21740-5758

Mailing address

201 S Cleveland Ave Ste 101
Hagerstown, MD 21740-5758
Phone (301) 745-3777

Other names 1

  • Family Healthcare Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230428000460 MD Part B Supplier - Mass Immunization (Roster Biller Only) 6305757402 Practice locations: Hagerstown, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Walnut St Comm HLTH Ctr Inc7 organizations share this tax ID, including this one
Part of
Walnut St Comm HLTH Ctr Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 S Cleveland Ave
Ste 101
Hagerstown, MD 21740
Phone (240) 513-6991

24 N Walnut St
Hagerstown, MD 21740
Phone (240) 527-2752

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1871234294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S CLEVELAND AVE STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405758",
            "telephone_number": "301-745-3777",
            "fax_number": "301-393-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CLEVELAND AVE",
            "address_2": "SUITE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405758",
            "telephone_number": "301-745-3777",
            "fax_number": "301-393-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT STREET COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALNUT STREET COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "MURDAUGH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-745-3777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Healthcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.