HANSON PHARMACY NPI 1104160712

NPI Information

  • NPI: 1104160712
  • Provider Name: HANSON PHARMACY
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 2110 CRAIN HWY
    WALDORF, MD
    ZIP 20601
  • Phone: (301) 885-0430

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NPI Details

HANSON PHARMACY is a pharmacy in Waldorf, MD. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HANSON PHARMACY NPI is 1104160712. The provider is registered as an organization entity type.

The provider's business location address is:

2110 CRAIN HWY
WALDORF, MD
ZIP 20601-146
Phone: (301) 885-0430

The provider's authorized official is Kwame Hanson .
The authorized official title is President and has the following contact phone number (301) 233-4542.

The enumeration date for this NPI number is 11/20/2012 and was last updated on 11/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyP05807MARYLANDNo
2333600000XPharmacyP05807MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDMARYLAND
2PENDINGMEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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