NPIMap

Organization Active NPI

Medaccess Pharmacy SVC LLC

  • Ambulatory Care Pharmacist
  • Laurel, MD
National Provider Identifier
1003692682
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
Legal business name
MEDACCESS PHARMACY SVC LLC
Practice address
7350 Van Dusen Rd Ste 120
Laurel, MD 20707-5267
Phone
(301) 604-8500
NPI assigned
Sep 7, 2023
Organization subpart
Yes
Parent organization
MEDACCESS PHARMACY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ejike Izundu Unegbu, PHARMD
Title
Manager
Phone
(301) 604-8500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P0018X
Ambulatory Care PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P2201X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

7350 Van Dusen Rd Ste 120
Laurel, MD 20707-5267

Mailing address

7350 Van Dusen Rd Ste 120
Laurel, MD 20707-5267
Phone (301) 604-8500

Other practice location 1

7350 Van Dusen Rd Ste 120
Laurel, MD 20707-5267
Phone (301) 604-8500

Other names 1

  • LAUREL CLINICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medaccess Pharmacy SVC LLC2 organizations share this tax ID, including this one
Part of
Medaccess Pharmacy SVC LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7350 Van Dusen Rd
Ste 120
Laurel, MD 20707
Phone (301) 467-4140

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1003692682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD STE 120",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075267",
            "telephone_number": "301-604-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD STE 120",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075267",
            "telephone_number": "301-604-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Van Dusen Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075267",
            "country_code": "US",
            "telephone_number": "301-604-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDACCESS PHARMACY SVC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDACCESS PHARMACY SERVICES LLC",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "UNEGBU",
        "authorized_official_first_name": "EJIKE",
        "authorized_official_middle_name": "IZUNDU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-604-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAUREL CLINICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAUREL CLINICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.