Germantown Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P04694 Issued in MD

Legal business name

GERMANTOWN PHARMACY

Practice address

19735 Germantown Rd
175
Germantown, MD 20874-1214

Phone

(301) 515-9222

Fax

(601) 506-1728

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Hannah Dibonge, PHRMDNPI 1932274735

Title

Owner

Phone

(240) 506-1728

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GERMANTOWN PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Dibonge, RPH., CGP.

  • Pharmacist
  • Germantown, MD
  • NPI 1932274735
  NPD Authorized official

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1972783702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21506 MANOR VIEW CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765924",
            "telephone_number": "240-506-1728",
            "fax_number": "301-540-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD",
            "address_2": "175",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741214",
            "telephone_number": "301-515-9222",
            "fax_number": "601-506-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "DIBONGE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-506-1728",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2133685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GERMANTOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Germantown, MD
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.