1679639348 NPI number — THE JOHNS HOPKINS HOSPITAL

Table of content: (NPI 1679639348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679639348 NPI number — THE JOHNS HOPKINS HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE JOHNS HOPKINS HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
JOHNS HOPKINS OUTPATIENT PHARMACY AT JHOC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679639348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 418243
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02241-8243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-997-0001
Provider Business Mailing Address Fax Number:
443-997-0011

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 N CAROLINE ST
Provider Second Line Business Practice Location Address:
SUITE 1006
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287-0006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-955-3733
Provider Business Practice Location Address Fax Number:
410-614-3733
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
VP FINANCE/CFO
Authorized Official Telephone Number:
443-997-1312

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X , with the licence number:  P01688 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0003X , with the licence number: P01688 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4134222 00 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4125371 00 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2122505 . This is a "NCPDP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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