Individual provider Active NPI

Sylvia Mauyioh Chofong, PHARMD

  • Pharmacist
  • Upper Marlboro, MD
National Provider Identifier
1861755274
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27549 Issued in MD
Practice address
5700 Crain Hwy
Upper Marlboro, MD 20772-4102
Phone
(301) 952-7539
NPI assigned
Jun 20, 2012
Reactivated
Jan 13, 2021
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU
Pharmacist 183500000X 0202219300 VA
Pharmacist 183500000X 27549 MD Primary

Addresses

Primary practice location

5700 Crain Hwy
Upper Marlboro, MD 20772-4102

Mailing address

49 Herrington Dr
Upper Marlboro, MD 20774-1545
Phone (240) 501-9743

Other practice location 1

15763 Pointer Ridge Dr
Bowie, MD 20716-1710
Phone (240) 501-9743

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202219300VAMDPharmacist
27549MDMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Giant of Maryland LLC PastSince Jan 17, 2021 Accepting new patients
Giant of Maryland LLC PastSince Jan 17, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1861755274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HERRINGTON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741545",
            "telephone_number": "240-501-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 CRAIN HWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724102",
            "telephone_number": "301-952-7539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15763 Pointer Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207161710",
            "country_code": "US",
            "telephone_number": "240-501-9743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOFONG",
        "first_name": "SYLVIA",
        "middle_name": "MAUYIOH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "deactivation_date": "2020-11-26",
        "reactivation_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202219300",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "27549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.