NPIMap

Organization Active NPI

Home Care Pharmacy / Fennel

  • Community/Retail Pharmacy
  • Hagerstown, MD
National Provider Identifier
1902830797
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO1492 Issued in MD
Legal business name
HOME CARE PHARMACY / FENNEL
Practice address
324 E Antietam St
Suite 202
Hagerstown, MD 21740-5754
Phone
(301) 766-4167
Fax
(301) 745-4164
NPI assigned
Jul 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Michael Zampelli
Title
V.P. Antietam Health Services
Phone
(301) 665-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PO1492 MD Primary

Addresses

Primary practice location

324 E Antietam St
Suite 202
Hagerstown, MD 21740-5754

Mailing address

324 E Antietam St
Suite 202
Hagerstown, MD 21740-5754
Phone (301) 766-4167

Other identifiers 1

IdentifierTypeStateIssuer
2116475OtherNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Home Care Pharmacy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1902830797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E ANTIETAM ST",
            "address_2": "SUITE 202",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405754",
            "telephone_number": "301-766-4167",
            "fax_number": "301-745-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E ANTIETAM ST",
            "address_2": "SUITE 202",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405754",
            "telephone_number": "301-766-4167",
            "fax_number": "301-745-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE PHARMACY / FENNEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ZAMPELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "V.P. ANTIETAM HEALTH SERVICES",
        "authorized_official_telephone_number": "301-665-4525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PO1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2116475",
            "state": null
        }
    ],
    "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 7, 2023; 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.