Organization Active NPI

Crowns Pharmacy LLC

Doing business as Crown's Pharmacy and Clinic

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Laurel, MD
National Provider Identifier
1245878875
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
Legal business name
CROWNS PHARMACY LLC
Doing business as
Crown's Pharmacy and Clinic
Practice address
9705 Fort Meade Rd
Laurel, MD 20707-4405
Phone
(509) 237-1144
NPI assigned
Dec 13, 2019
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Chukwuedozie OkotchaNPI 1033401591
Title
Owner
Phone
(509) 237-1144

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
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X NU Primary

Addresses

Primary practice location

9705 Fort Meade Rd
Laurel, MD 20707-4405

Mailing address

9705 Fort Meade Rd
Laurel, MD 20707-4405
Phone (509) 237-1144

Other names 1

  • Crown's Pharmacy and Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200617000437 DC Part B Supplier - Pharmacy 4183046303 Practice locations: Laurel, MD

National Provider Directory

National Provider Directory

Locations

9705 Fort Meade Rd
Laurel, MD 20707
Phone (301) 477-7141

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1245878875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 FORT MEADE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074405",
            "telephone_number": "509-237-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 FORT MEADE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074405",
            "telephone_number": "509-237-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "OKOTCHA",
        "authorized_official_first_name": "CHUKWUEDOZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-237-1144"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown's Pharmacy and Clinic",
            "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 Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.