Individual provider Active NPI

Cynthia L. Hissong, RPH

  • Pharmacist
  • Hagerstown, MD
National Provider Identifier
1881650745
Registry record updated Mar 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14745 Issued in MD
Practice address
251 E Antietam St
Hagerstown, MD 21740-5724
Phone
(301) 790-8643
Fax
(301) 790-8651
NPI assigned
Apr 21, 2006
Last updated
Mar 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14745 MD Primary
Pharmacist 183500000X RP043326L PA

Addresses

Primary practice location

251 E Antietam St
Hagerstown, MD 21740-5724

Mailing address

251 E Antietam St
Hagerstown, MD 21740-5724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14745MDMDPharmacist
RP043326LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332547200000",
    "number": "1881650745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405724",
            "telephone_number": "301-790-8643",
            "fax_number": "301-790-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISSONG",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14745",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043326L",
            "primary": false
        }
    ],
    "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 Mar 24, 2012; 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.