Laurel Pharmacy II LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07723 Issued in MD

Legal business name

LAUREL PHARMACY II LLC

Practice address

14402 Baltimore Ave
Laurel, MD 20707

Phone

(301) 604-4455

Fax

(301) 238-7455

NPI assigned

May 1, 2018

Organization subpart

No

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

Authorized official

Name

Ejike Unegubu

Title

Pharmacy Manager

Phone

(301) 604-8500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• LAUREL PHARMACY Rt 1 Doing business as

Practitioners 1

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

• Ejike Izundu Unegbu, PHARM.D

  • Geriatric Pharmacist
  • Laurel, MD
  • NPI 1619260650
  NPD

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1316435795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14402 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074953",
            "telephone_number": "301-604-4455",
            "fax_number": "240-539-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14402 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-604-4455",
            "fax_number": "301-238-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PHARMACY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "UNEGUBU",
        "authorized_official_first_name": "EJIKE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "301-604-8500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAUREL PHARMACY Rt 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAUREL PHARMACY Rt 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurel Medical Associates, LLC
• Laurel Medical Center Pharmacy Inc
• Laurel Orthopedic & Medical Supplies, Inc
• Laurel Pediatric Dentistry
• Laurel Pediatrics
• Laurel Pine Pediatrics LLC
• Laurel Pines Dental 100 LLC
• Laurel Pines Dental Group, Chartered
• Laurel Regional Chiropractic, LLC
• Laurel Smiles Dental Care, LLC

• Community/Retail Pharmacy in Laurel, MD
• Providers in Laurel, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.