NPIMap

Organization Active NPI

Padek Healthcare Inc.

  • Pharmacy
  • Bladensburg, MD
National Provider Identifier
1104852607
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P04314 Issued in MD
Legal business name
PADEK HEALTHCARE INC.
Practice address
5403A Annapolis Rd
Bladensburg, MD 20710-2201
Phone
(301) 277-7107
Fax
(301) 277-7127
NPI assigned
Jun 25, 2006
Organization subpart
Yes
Parent organization
PADEK HEALTHCARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Dr. Prince Ayodele Adekoya Jr., PHARM.DNPI 1992803118
Title
Pharmacist Owner
Phone
(301) 277-7107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P04314 MD
Pharmacy 333600000X P04314 MD Primary
Community/Retail Pharmacy 3336C0003X P04314 MD
Compounding Pharmacy 3336C0004X P04314 MD
Long Term Care Pharmacy 3336L0003X P04314 MD
Specialty Pharmacy 3336S0011X P04314 MD

Addresses

Primary practice location

5403A Annapolis Rd
Bladensburg, MD 20710-2201

Mailing address

5403A Annapolis Rd
Bladensburg, MD 20710-2201
Phone (301) 277-7107

Other identifiers 3

IdentifierTypeStateIssuer
037024500MedicaidDC
420075600MedicaidMD
420053500MedicaidMD

Other names 1

  • PADEK HEALTHCARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930029104 MD DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 0446458467 Practice locations: Bladensburg, MD
O20200805000115 DC Part B Supplier - Mass Immunization (Roster Biller Only) 0446458467 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bladensburg, MD; Hyattsville, MD
O20210311002799 DC Part B Supplier - Pharmacy 0446458467 Practice locations: Bladensburg, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Padek Healthcare Inc3 organizations share this tax ID, including this one
Part of
Padek Healthcare Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5403A Annapolis Rd
Bladensburg, MD 20710
Phone (301) 277-7107

5403 Annapolis Rd
Bladensburg, MD 20710
Phone (301) 277-7107

5814 Baltimore Ave
Hyattsville, MD 20781
Phone (301) 277-7107

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1104852607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403A ANNAPOLIS RD",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102201",
            "telephone_number": "301-277-7107",
            "fax_number": "301-277-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403A ANNAPOLIS RD",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102201",
            "telephone_number": "301-277-7107",
            "fax_number": "301-277-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADEK HEALTHCARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PADEK HEALTHCARE INC.",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "ADEKOYA",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "AYODELE",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "301-277-7107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "P04314",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P04314",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04314",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MD",
            "license": "P04314",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "P04314",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "P04314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037024500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420075600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420053500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PADEK HEALTHCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.