Provider Demographics
NPI:1376622001
Name:JOHNS HOPKINS PHARMAQUIP INC
Entity Type:Organization
Organization Name:JOHNS HOPKINS PHARMAQUIP INC
Other - Org Name:JOHNS HOPKINS PHARMAQUIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DANIKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-288-8000
Mailing Address - Street 1:5901 HOLABIRD AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-6015
Mailing Address - Country:US
Mailing Address - Phone:410-288-8150
Mailing Address - Fax:410-284-8952
Practice Address - Street 1:5901 HOLABIRD AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6015
Practice Address - Country:US
Practice Address - Phone:410-288-8000
Practice Address - Fax:410-288-4369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1060332B00000X
332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD404128300Medicaid
MDZ245OtherBLUE CROSS
MDZ245OtherBLUE CROSS