OrganizationActive
Antietam Health Services
NPI 1104915321 · Community/Retail Pharmacy · Williamsport, MD
Antietam Health Services is a Community/Retail Pharmacy organization in Williamsport, MD (NPI 1104915321).
Provider details
- NPI number
- 1104915321
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Laurence Hickman, Pharmacist Manager(301) 223-4100
- License
- P02295 (MD)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
307 E Potomac Street
Williamsport, MD 21795-1203
Phone: (301) 223-4100
Fax: (301) 223-6133
Street-level locationGet directions
Mailing address
307 E Potomac St
Williamsport, MD 21795-1203
Other names (DBA / former)
- Doing business as
- Home Care Pharmacy-Williamsport
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Antietam Health Services's NPI number?
- Antietam Health Services's National Provider Identifier (NPI) is 1104915321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Antietam Health Services?
- Antietam Health Services is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Antietam Health Services located?
- Antietam Health Services's practice location on file with NPPES is 307 E Potomac Street, Williamsport, MD 21795-1203.
- What is Antietam Health Services's phone number?
- The practice phone number listed in the NPPES registry for Antietam Health Services is (301) 223-4100.
- Who is the authorized official for Antietam Health Services?
- The authorized official listed on Antietam Health Services's NPPES record is Laurence Hickman, Pharmacist Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Antietam Health Services's NPI active?
- Yes — Antietam Health Services's NPI (1104915321) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.