Organization Active NPI

Chimyke Corp

  • Community/Retail Pharmacy
  • Takoma Park, MD
National Provider Identifier
1679614523
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P02300 Issued in MD
Legal business name
CHIMYKE CORP
Practice address
7676 New Hampshire Ave
Ste 104
Takoma Park, MD 20912-7512
Phone
(301) 445-6050
Fax
(301) 445-6056
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Meryln Crandon, RPH
Title
Owner,RPH,Ao
Phone
(301) 445-6050

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P02300 MD Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

7676 New Hampshire Ave
Ste 104
Takoma Park, MD 20912-7512

Mailing address

7676 New Hampshire Ave
Ste 104
Takoma Park, MD 20912-7512
Phone (301) 445-6050

Other identifiers 2

IdentifierTypeStateIssuer
446889900MedicaidMD
2036501OtherPK

Other names 1

  • LANGLEY PARK PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

7676 New Hampshire Ave
Ste 104
Takoma Park, MD 20912
Phone (301) 445-6050

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1679614523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE",
            "address_2": "STE 104",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127512",
            "telephone_number": "301-445-6050",
            "fax_number": "301-445-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE",
            "address_2": "STE 104",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127512",
            "telephone_number": "301-445-6050",
            "fax_number": "301-445-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIMYKE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "CRANDON",
        "authorized_official_first_name": "MERYLN",
        "authorized_official_title_or_position": "OWNER,RPH,AO",
        "authorized_official_telephone_number": "301-445-6050",
        "authorized_official_credential": "RPH"
    },
    "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": "P02300",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "446889900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2036501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANGLEY PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.