Organization Active NPI

Mergold Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1902985674
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P02423 Issued in MD
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

Updated by the provider on Dec 10, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
345000700MedicaidMD
241004400MedicaidMD
2036734OtherPK

Other names 1

  • HALETHORPE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.