Organization Active NPI

Mendel Pharmacy Inc

  • Community/Retail Pharmacy
  • Capitol Heights, MD
National Provider Identifier
1164775144
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MENDEL PHARMACY INC
Doing business as
mendel pharmacy inc
Practice address
1264 Benning Rd
Capitol Heights, MD 20743-5173
Phone
(301) 735-2221
Fax
(301) 735-2213
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
John Nnamdi OnyeachonamNPI 1942647557
Title
Pharmacy Director
Phone
(301) 735-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1264 Benning Rd
Capitol Heights, MD 20743-5173

Mailing address

1264 Benning Rd
Capitol Heights, MD 20743-5173
Phone (301) 735-2221

Other identifiers 1

IdentifierTypeStateIssuer
NO NUMBERMedicaidMD

Other names 1

  • mendel pharmacy inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mendel Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1264 Benning Rd
Capitol Heights, MD 20743
Phone (301) 735-2221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1164775144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 BENNING RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435173",
            "telephone_number": "301-735-2221",
            "fax_number": "301-735-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 BENNING RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435173",
            "telephone_number": "301-735-2221",
            "fax_number": "301-735-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "ONYEACHONAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NNAMDI",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "301-735-2221"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NO NUMBER",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mendel pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.