Provider Demographics
NPI:1659136984
Name:CHENIG LLC
Entity Type:Organization
Organization Name:CHENIG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:IKEJI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:240-305-1970
Mailing Address - Street 1:12608 CAMBLETON DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1730
Mailing Address - Country:US
Mailing Address - Phone:240-305-1970
Mailing Address - Fax:240-554-2457
Practice Address - Street 1:12608 CAMBLETON DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1730
Practice Address - Country:US
Practice Address - Phone:240-305-1970
Practice Address - Fax:240-554-2457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty