NPIMap

Organization Active NPI

Demmy'S Pharmacy LLC

  • Long Term Care Pharmacy
  • College Park, MD
National Provider Identifier
1790539302
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DEMMY'S PHARMACY LLC
Doing business as
Demmy's Pharmacy
Practice address
4900 Greenbelt Rd
College Park, MD 20740-2015
Phone
(301) 220-3124
Fax
(855) 595-2577
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. Adeolu Tope Odewale
Title
Owner
Phone
(301) 220-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4900 Greenbelt Rd
College Park, MD 20740-2015

Mailing address

4900 Greenbelt Rd
College Park, MD 20740-2015
Phone (301) 220-3124

Other names 1

  • Demmy's Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Demmy'S Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1790539302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "ODEWALE",
        "authorized_official_first_name": "ADEOLU",
        "authorized_official_middle_name": "TOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-220-3124",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Demmy's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 11, 2024; 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.