Chesapeake Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01192 Issued in MD

Legal business name

CHESAPEAKE DRUG INC

Doing business as

Chesapeake Progressive Pharmacy

Practice address

7955 Bayside Rd
310
Chesapeak BCH, MD 20732-3112

Phone

(410) 257-2050

Fax

(410) 257-6683

NPI assigned

Jan 8, 2007

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leo Mallard, RPHNPI 1164425658

Title

MNGR

Phone

(301) 855-7554

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• CHESAPEAKE PROGRESSIVE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leo F. Mallard, RPH

  • Pharmacist
  • Owings, MD
  • NPI 1164425658
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1861540817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 BAYSIDE RD",
            "address_2": "310",
            "city": "CHESAPEAK BCH",
            "state": "MD",
            "postal_code": "207323112",
            "telephone_number": "410-257-2050",
            "fax_number": "410-257-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 BAYSIDE RD",
            "address_2": "310",
            "city": "CHESAPEAK BCH",
            "state": "MD",
            "postal_code": "207323112",
            "telephone_number": "410-257-2050",
            "fax_number": "410-257-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "MNGR",
        "authorized_official_telephone_number": "301-855-7554",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01192",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405862300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2114027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHESAPEAKE PROGRESSIVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.