NPIMap

Organization Active NPI

State of Maryland

Doing business as Health Center Pharmacy

  • Clinic Pharmacy
  • College Park, MD
National Provider Identifier
1942368162
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
P00845 Issued in MD
Legal business name
STATE OF MARYLAND
Doing business as
Health Center Pharmacy
Practice address
3983 Campus Drive University of Maryland
College Park, MD 20742-0001
Phone
(301) 314-8167
Fax
(301) 314-3677
NPI assigned
Dec 4, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Dr. Spyridon Marinopoulos, MD
Title
Director
Phone
(301) 314-8117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X P00845 MD Primary

Addresses

Primary practice location

3983 Campus Drive University of Maryland
College Park, MD 20742-0001

Mailing address

3983 Campus Drive University of Maryland Building 140
College Park, MD 20742-0001
Phone (301) 314-8167

Other identifiers 3

IdentifierTypeStateIssuer
780882800MedicaidMD
2033551OtherPK
780882811MedicaidMD

Other names 1

  • HEALTH CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Towson University83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

3983 Campus Dr University Of Maryland
College Park, MD 20742
Phone (301) 314-8167

3983 Campus Dr University Of Maryland
Bldg 140
College Park, MD 20742

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1942368162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 CAMPUS DRIVE UNIVERSITY OF MARYLAND BUILDING 140",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207420001",
            "telephone_number": "301-314-8167",
            "fax_number": "301-314-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 CAMPUS DRIVE UNIVERSITY OF MARYLAND",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207420001",
            "telephone_number": "301-314-8167",
            "fax_number": "301-314-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MARINOPOULOS",
        "authorized_official_first_name": "SPYRIDON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-314-8117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MD",
            "license": "P00845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780882800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033551",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780882811",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.