Medaccess Pharmacy SVC LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PO4144 Issued in MD

Legal business name

MEDACCESS PHARMACY SVC LLC

Doing business as

Laurel pharmacy

Practice address

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

Phone

(301) 604-8500

NPI assigned

Sep 21, 2006

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ejike I Unegbu, PHARM.DNPI 1619260650

Title

Director of Pharmacy

Phone

(301) 604-8500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Laurel pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ejike Izundu Unegbu, PHARM.D

  • Geriatric Pharmacist
  • Laurel, MD
  • NPI 1619260650
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1053410431",
    "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": [],
    "basic": {
        "organization_name": "MEDACCESS PHARMACY SVC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "UNEGBU",
        "authorized_official_first_name": "EJIKE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR  OF PHARMACY",
        "authorized_official_telephone_number": "301-604-8500",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "PO4144",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407083600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurel pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neil A Meade, M.D.
• Asmait Mebrahtu
• Nathalie Eleonore Mechela
• Med Trans Plus, LLC
• Medaccess Pharmacy SVC LLC (Laurel Clinical Pharmacy)
• Medaccess Pharmacy SVC LLC (Laurel Pharmacy)
• Medcare, LLC (Medcare Pharmacy Services)
• Mediqo Supply
• Medivine Healthcare Services Inc
• Peggy Linda Medjie Tiangueu

• Pharmacy in Laurel, MD
• Providers in Laurel, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.