Active NPI
Deep Creek Pharmacy Herpel PC
Doing business as Deep Creek Pharmacy
- Community/Retail Pharmacy
- McHenry, MD
National Provider Identifier
1891892725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P01762
- Legal business name
- DEEP CREEK PHARMACY HERPEL PC
- Doing business as
- Deep Creek Pharmacy
- Practice address
- 24465 Garrett Hwy
MC Henry, MD 21541-1326 - Phone
- (301) 387-5300
- Fax
- (301) 387-4994
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 16, 2017
- 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
- Gerard Herpel, BS PHARM
- Title
- Pharm/Owner
- Phone
- (301) 387-5300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P01762 | MD | Primary |
Addresses
Primary practice location
24465 Garrett Hwy
MC Henry, MD 21541-1326
Mailing address
PO Box 267
MC Henry, MD 21541-0267
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033909 | Other | PK | |
| 405852600 | Medicaid | MD |
Other names 1
- DEEP CREEK PHARMACY
National Provider Directory
National Provider DirectoryLocations
24465 Garrett Hwy
Mc Henry, MD 21541
Phone (301) 387-5300
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- McHenry, MD
- NPI 1144357468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487203200000",
"number": "1891892725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 267",
"city": "MC HENRY",
"state": "MD",
"postal_code": "215410267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24465 GARRETT HWY",
"city": "MC HENRY",
"state": "MD",
"postal_code": "215411326",
"telephone_number": "301-387-5300",
"fax_number": "301-387-4994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEP CREEK PHARMACY HERPEL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2017-02-16",
"status": "A",
"authorized_official_last_name": "HERPEL",
"authorized_official_first_name": "GERARD",
"authorized_official_title_or_position": "PHARM/OWNER",
"authorized_official_telephone_number": "301-387-5300",
"authorized_official_credential": "BS PHARM"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P01762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2033909",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405852600",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DEEP CREEK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McHenry, MD
- Allegany Imaging, PC
- Elizebeth D Allen, PA
- Mikaela Nicole Bernard, MSW TLSW
- Henry Armand Brown, DCSW
- Jennifer Christophel, LMT
- Dr. Norman E. Wood, Jr, PA (Doctors Urgent Care and Family Practice)
- Gerard A. Herpel, P.D.
- Ronald Clifford Kinsey, MD
- Monongalia County General Hospital Company (Mon Health Medical Center)
- Pressley Ridge
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.