NPIMap

Organization Active NPI

CMJ Concrete LLC

  • Chore Provider
  • Summerville, SC
National Provider Identifier
1225920804
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Legal business name
CMJ CONCRETE LLC
Practice address
432 Clara LN
Summerville, SC 29483-7406
Phone
(843) 530-8109
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Mr. Malcolm MazyckNPI 1538951488
Title
Owner
Phone
(843) 530-8109

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 372500000X Primary

Addresses

Primary practice location

432 Clara LN
Summerville, SC 29483-7406

Mailing address

PO Box 51168
Summerville, SC 29485-1168
Phone (843) 530-8109

National Provider Directory

National Provider Directory

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": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1225920804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51168",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294851168",
            "telephone_number": "843-530-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 CLARA LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837406",
            "telephone_number": "843-530-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMJ CONCRETE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "MAZYCK",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-530-8109",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.