NPIMap

Organization Active NPI

Crowns Pharmacy LLC

  • Clinic Pharmacy
  • Laurel, MD
National Provider Identifier
1417560962
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
CROWNS PHARMACY LLC
Doing business as
Crowns Pharmacy LLC
Practice address
9705 Fort Meade Rd
Laurel, MD 20707-4405
Phone
(301) 477-7141
Fax
(240) 391-6676
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Chukwuedozie H OkotchaNPI 1033401591
Title
Managing Owner
Phone
(301) 477-7141

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
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

9705 Fort Meade Rd
Laurel, MD 20707-4405

Mailing address

6381 Grateful Heart Gate
Columbia, MD 21044-6003
Phone (301) 477-7141

Other identifiers 1

IdentifierTypeStateIssuer
424843100MedicaidMD

Other names 1

  • CROWNS PHARMACY LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SURESCRIPT Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1417560962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 GRATEFUL HEART GATE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446003",
            "telephone_number": "301-477-7141",
            "fax_number": "240-391-6676"
        },
        {
            "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": "301-477-7141",
            "fax_number": "240-391-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "OKOTCHA",
        "authorized_official_first_name": "CHUKWUEDOZIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "301-477-7141"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424843100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SURESCRIPT",
            "affiliation": "N",
            "endpointDescription": "SURESCRIPT",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PATIENT MEDICATION INFO",
            "address_1": "9705 Fort Meade Rd",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207074405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CROWNS PHARMACY LLC",
            "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 Aug 25, 2020; 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.