Healthcare Provider Details

I. General information

NPI: 1528448248
Provider Name (Legal Business Name): CHINTAN AMIN PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 WATKINS MILL RD
GAITHERSBURG MD
20879-3301
US

IV. Provider business mailing address

655 WATKINS MILL RD
GAITHERSBURG MD
20879-3301
US

V. Phone/Fax

Practice location:
  • Phone: 240-632-4150
  • Fax: 240-632-4151
Mailing address:
  • Phone: 240-632-4150
  • Fax: 240-632-4151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20509
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: