Healthcare Provider Details

I. General information

NPI: 1255529459
Provider Name (Legal Business Name): THE JOHNS HOPKINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 E MONUMENT ST
BALTIMORE MD
21205-2107
US

IV. Provider business mailing address

PO BOX 418243
BOSTON MA
02241-8243
US

V. Phone/Fax

Practice location:
  • Phone: 410-502-5735
  • Fax: 410-502-5734
Mailing address:
  • Phone: 443-997-0001
  • Fax: 443-997-0011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberP04439
License Number StateMD

VIII. Authorized Official

Name: MR. RONALD J. WERTHMAN
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 410-955-6552