1437271194 NPI number — CORRECT RX PHARMACY SERVICES INC

Table of content: (NPI 1437271194)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437271194 NPI number — CORRECT RX PHARMACY SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CORRECT RX PHARMACY SERVICES INC
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:
Provider Other Organization Name Type Code:
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:
1437271194
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1352 CHARWOOD RD STE C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HANOVER
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21076-3125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-557-0100
Provider Business Mailing Address Fax Number:
443-557-0333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1352 CHARWOOD RD STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANOVER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21076-3125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-557-0100
Provider Business Practice Location Address Fax Number:
443-557-0333
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FELHAUER
Authorized Official First Name:
MARY
Authorized Official Middle Name:
Authorized Official Title or Position:
LEAD BILLING SUPERVISOR
Authorized Official Telephone Number:
443-557-0100

Provider Taxonomy Codes

  • Taxonomy code: 3336I0012X , with the licence number:  PW0234 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336M0002X , with the licence number: PW0234 , 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: 200184160 A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01952904 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2126894 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 46801031 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1000022941 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2400824 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0356038 00 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6040083000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4019954 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 795932 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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