Organization Active NPI

Northern Pharmacy and Medical Equipment, Inc

  • Institutional Pharmacy
  • Baltimore, MD
National Provider Identifier
1891898722
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
PW0245 Issued in MD
Legal business name
NORTHERN PHARMACY AND MEDICAL EQUIPMENT, INC
Practice address
6703-6705 Harford Rd.
Baltimore, MD 21234-7707
Phone
(410) 254-2055
Fax
(410) 843-7743
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Pepper K Mintz
Title
President and Coo
Phone
(410) 254-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X PW0245 MD Primary

Addresses

Primary practice location

6703-6705 Harford Rd.
Baltimore, MD 21234-7707

Mailing address

6701 Harford Rd
Baltimore, MD 21234-7721
Phone (410) 254-2055

Other identifiers 1

IdentifierTypeStateIssuer
411651800MedicaidMD

Other names 1

  • Northern Special Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northrn Phrmcymedcl Eq5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1891898722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347721",
            "telephone_number": "410-254-2055",
            "fax_number": "410-843-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703-6705 HARFORD RD.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347707",
            "telephone_number": "410-254-2055",
            "fax_number": "410-843-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PHARMACY AND MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "PEPPER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "410-254-2055"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MD",
            "license": "PW0245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411651800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Special Care 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 Dec 1, 2020; 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.