NPIMap

Organization Active NPI

Northern Pharmacy and Medical Equipment, Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1992809586
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01182 Issued in MD
Legal business name
NORTHERN PHARMACY AND MEDICAL EQUIPMENT, INC
Practice address
6701 Harford Rd
Baltimore, MD 21234-7721
Phone
(410) 254-2055
Fax
(410) 254-0468
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Pepper Mintz
Title
President and Coo
Phone
(410) 254-2055

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P01182 MD Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

6701 Harford Rd
Baltimore, MD 21234-7721

Mailing address

6701 Harford Rd
Baltimore, MD 21234-7721
Phone (410) 254-2055

Other identifiers 2

IdentifierTypeStateIssuer
077242900MedicaidMD
2037662OtherPK

Other names 1

  • NORTHERN Pharmacy AND MED EQUIPMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070108000374 MD Part B Supplier - Mass Immunization (Roster Biller Only) 4183624612 1 other NPI on this enrollment
Practice locations: Baltimore, MD; Parkville, MD
O20100930061277 MD DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Pedorthic Personnel 4183624612 Practice locations: Baltimore, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Northrn Phrmcymedcl Eq5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1992809586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347721",
            "telephone_number": "410-254-2055",
            "fax_number": "410-254-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347721",
            "telephone_number": "410-254-2055",
            "fax_number": "410-254-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PHARMACY AND MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "PEPPER",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "410-254-2055"
    },
    "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": "P01182",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077242900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN Pharmacy AND MED EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHERN Pharmacy AND MED EQUIPMENT",
            "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 Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.