Active NPI
Mergold Inc
- Community/Retail Pharmacy
- Baltimore, MD
National Provider Identifier
1902985674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P02423
- Legal business name
- MERGOLD INC
- Doing business as
- HALETHORPE PHARMACY
- Practice address
- 1307 Francis Ave
Baltimore, MD 21227-3913 - Phone
- (410) 247-3344
- Fax
- (410) 247-9110
- NPI assigned
- Nov 3, 2006
- 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
- George Garmer, RPH
- Title
- Owner,RPH,Ao
- Phone
- (410) 247-3344
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P02423 | MD | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1307 Francis Ave
Baltimore, MD 21227-3913
Mailing address
1307 Francis Ave
Baltimore, MD 21227-3913
Phone (410) 247-3344
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345000700 | Medicaid | MD | |
| 241004400 | Medicaid | MD | |
| 2036734 | Other | PK |
Other names 1
- HALETHORPE PHARMACY
National Provider Directory
National Provider DirectoryLocations
1307 Francis Ave
Halethorpe, MD 21227
Phone (410) 207-5751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449705600000",
"number": "1902985674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 FRANCIS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212273913",
"telephone_number": "410-247-3344",
"fax_number": "410-247-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 FRANCIS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212273913",
"telephone_number": "410-247-3344",
"fax_number": "410-247-9110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERGOLD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2015-12-10",
"status": "A",
"authorized_official_last_name": "GARMER",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER,RPH,AO",
"authorized_official_telephone_number": "410-247-3344",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P02423",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345000700",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241004400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2036734",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HALETHORPE 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 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.