1487154225 NPI number — THE JOHNS HOPKINS HOSPITAL

Table of content: (NPI 1487154225)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487154225 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:
Provider Other Organization Name Type Code:
6
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:
1487154225
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5901 HOLABIRD AVE STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21224-6015
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-288-8154
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 N. BROADWAY
Provider Second Line Business Practice Location Address:
SUITE G-1015
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287-2128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-502-4774
Provider Business Practice Location Address Fax Number:
410-502-4773
Provider Enumeration Date:
02/19/2018

Additional Information

Authorized Official

Authorized Official Last Name:
OWENS
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
TARRIS
Authorized Official Title or Position:
CHIEF COMPLIANCE OFFICER
Authorized Official Telephone Number:
410-955-7930

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X , with the licence number:  P01779 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: P01779 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: P01779 . This is a "MARYLAND BOARD OF PHARMACY" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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