Active NPI
Demmy'S Pharmacy LLC
- Community/Retail Pharmacy
- College Park, MD
National Provider Identifier
1598186488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DEMMY'S PHARMACY LLC
- Practice address
- 4900 Greenbelt Rd
College Park, MD 20740-2015 - Phone
- (301) 220-3124
- Fax
- (855) 595-2577
- NPI assigned
- Dec 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adeolu T Odewale, PHARM.D, RPH
- Title
- Pharmacy Manager
- Phone
- (301) 220-3124
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4900 Greenbelt Rd
College Park, MD 20740-2015
Mailing address
5510 Cherrywood LN Ste B
Greenbelt, MD 20770-1045
Phone (301) 220-3124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170815000758 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547532392 | Practice locations: College Park, MD |
National Provider Directory
National Provider DirectoryLocations
4900 Greenbelt Rd
College Park, MD 20740
Phone (301) 220-3124
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Greenbelt, MD
- NPI 1558648915
-
- Pharmacist
- Greenbelt, MD
- NPI 1477116283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661299200000",
"number": "1598186488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 CHERRYWOOD LN STE B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207701045",
"telephone_number": "301-220-3124",
"fax_number": "301-220-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 GREENBELT RD",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207402015",
"telephone_number": "301-220-3124",
"fax_number": "855-595-2577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEMMY'S PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-19",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A",
"authorized_official_last_name": "ODEWALE",
"authorized_official_first_name": "ADEOLU",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "301-220-3124",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D, RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.