Provider Demographics
NPI:1447669585
Name:CHORPENNING, PAUL JOSEPH JR
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:JOSEPH
Last Name:CHORPENNING
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:JOSEPH
Other - Last Name:CHORPENNING
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:52 MANOR DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1154
Mailing Address - Country:US
Mailing Address - Phone:301-334-8660
Mailing Address - Fax:301-334-1628
Practice Address - Street 1:220 N 3RD ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-1326
Practice Address - Country:US
Practice Address - Phone:301-334-8182
Practice Address - Fax:301-334-1628
Is Sole Proprietor?:No
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD8073OtherPHARMACIST