Active NPI
Austin Ayuk Forchap
- Pharmacist
- Odenton, MD
National Provider Identifier
1770160988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27816
- Practice address
- 1102 Annapolis Rd
Odenton, MD 21113-1602 - Phone
- (410) 674-8338
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27816 | MD | Primary |
Addresses
Primary practice location
1102 Annapolis Rd
Odenton, MD 21113-1602
Mailing address
307 Oak Manor Dr Apt 101
Glen Burnie, MD 21061-6707
Phone (443) 929-8639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47904624200 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RXconnect | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Maryland CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Odenton, MD
- NPI 1780781278
-
- Pharmacy
- Gaithersburg, MD
- NPI 1669100285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1770160988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 OAK MANOR DR APT 101",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616707",
"telephone_number": "443-929-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 ANNAPOLIS RD",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131602",
"telephone_number": "410-674-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORCHAP",
"first_name": "AUSTIN",
"middle_name": "AYUK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47904624200",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RXconnect",
"affiliation": "N",
"endpointDescription": "RXconnect",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "RXconnect",
"address_1": "1102 Annapolis Rd",
"city": "Odenton",
"state": "MD",
"country_code": "US",
"postal_code": "211131602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.