Provider Demographics
NPI:1487154225
Name:THE JOHNS HOPKINS HOSPITAL
Entity type:Organization
Organization Name:THE JOHNS HOPKINS HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:TARRIS
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-955-7930
Mailing Address - Street 1:5901 HOLABIRD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-6015
Mailing Address - Country:US
Mailing Address - Phone:410-288-8154
Mailing Address - Fax:
Practice Address - Street 1:201 N. BROADWAY
Practice Address - Street 2:SUITE G-1015
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-2128
Practice Address - Country:US
Practice Address - Phone:410-502-4774
Practice Address - Fax:410-502-4773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP017793336C0002X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP01779OtherMARYLAND BOARD OF PHARMACY