Organization Active NPI

Demmy's Pharmacy LLC

  • Pharmacy
  • College Park, MD
National Provider Identifier
1235603291
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DEMMY'S PHARMACY LLC
Practice address
4900 Greenbelt Rd
College Park, MD 20740-2015
Phone
(301) 220-3124
Fax
(301) 220-1738
NPI assigned
Jan 13, 2019
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Adeolu Tope Odewale, PHARM.D.NPI 1558648915
Title
Manager
Phone
(301) 220-3124

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
Pharmacy 333600000X Primary

Addresses

Primary practice location

4900 Greenbelt Rd
College Park, MD 20740-2015

Mailing address

4900 Greenbelt Rd
College Park, MD 20740-2015
Phone (301) 220-3124

Other identifiers 1

IdentifierTypeStateIssuer
593407900MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Demmy's Pharmacy2 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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1235603291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 GREENBELT RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402015",
            "telephone_number": "301-220-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 GREENBELT RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402015",
            "telephone_number": "301-220-3124",
            "fax_number": "301-220-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMMY'S PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-13",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "ODEWALE",
        "authorized_official_first_name": "ADEOLU",
        "authorized_official_middle_name": "TOPE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-220-3124",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593407900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.