Organization Active NPI

Chesapeake Digestive Associates, LLC

  • Non-Pharmacy Dispensing Site
  • Annapolis, MD
National Provider Identifier
1396425856
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CHESAPEAKE DIGESTIVE ASSOCIATES, LLC
Practice address
621 Ridgely Ave Ste 201
Annapolis, MD 21401-1083
Phone
(305) 468-4185
Fax
(305) 675-3378
NPI assigned
Jul 20, 2023
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHESAPEAKE DIGESTIVE ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Alan Oliver, CEO
Title
Ceo
Phone
(786) 530-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

621 Ridgely Ave Ste 201
Annapolis, MD 21401-1083

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (305) 468-4185

Other names 1

  • MD NCPDP Other name

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Digestive Associates PC7 organizations share this tax ID, including this one
Part of
Chesapeake Digestive Associates PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1396425856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE STE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011083",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE DIGESTIVE ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESAPEAKE DIGESTIVE ASSOCIATES, LLC",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD NCPDP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MD NCPDP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.