NPIMap

Organization Active NPI

Mednovations Inc

  • Specialty Pharmacy
  • Laurel, MD
National Provider Identifier
1295777076
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PW0210 Issued in MD
Legal business name
MEDNOVATIONS INC
Practice address
316 Talbott Ave
Laurel, MD 20707-4334
Phone
(240) 554-0310
Fax
(240) 554-0316
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Christopher Keeys, PHARMD RPH BCPS
Title
Ceo
Phone
(240) 554-0310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X PW0210 MD Primary

Addresses

Primary practice location

316 Talbott Ave
Laurel, MD 20707-4334

Mailing address

316 Talbott Ave
Laurel, MD 20707-4334
Phone (240) 554-0310

Other identifiers 1

IdentifierTypeStateIssuer
2132607OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDNOVATIONS INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1295777076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 TALBOTT AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074334",
            "telephone_number": "240-554-0310",
            "fax_number": "240-554-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 TALBOTT AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074334",
            "telephone_number": "240-554-0310",
            "fax_number": "240-554-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNOVATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "KEEYS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-554-0310",
        "authorized_official_credential": "PHARMD RPH BCPS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "PW0210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2132607",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDNOVATIONS INC",
            "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 Mar 5, 2010; 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.