Gopher Wood Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOPHER WOOD CORP

Doing business as

MAXCARE PHARMACY

Practice address

7448 Baltimore Annapolis Blvd Ste a
Glen Burnie, MD 21061-3468

Phone

(410) 553-4137

NPI assigned

Aug 7, 2024

Organization subpart

Yes

Parent organization

GOPHER WOOD CORPAs reported in NPPES

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

Authorized official

Name

Olujimi Babatunde, PHARMD

Title

Director

Phone

(410) 553-4137

Specialties & licenses 1

Addresses

Other names 1

• MAXCARE PHARMACY Doing business as

Tax ID family

Gopher Wood Corp2 organizations share this tax ID, including this one

Part of

Gopher Wood Corp

Other organizations with this tax ID 1

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

• Gopher Wood Corp

  • Long Term Care Pharmacy
  • Glen Burnie, MD
  • NPI 1629943071
  NPD tax ID

Locations

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1114757655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 BALTIMORE ANNAPOLIS BLVD STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613468",
            "telephone_number": "410-553-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 BALTIMORE ANNAPOLIS BLVD STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613468",
            "telephone_number": "410-553-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOPHER WOOD CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOPHER WOOD  CORP",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BABATUNDE",
        "authorized_official_first_name": "OLUJIMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-553-4137",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Emilio Gomez Sr., M.D.
• Timisha Ruebina Gomez, WHNP-BC
• Nayeli Gonzalez Flores
• Kelsey Leann Good, CPRP
• Juliet Goozh, PHD
• Gopher Wood Corp
• Gopher Wood Corp
• Elliott Gorbaty, M.D.
• Ineta Maria Gordon, LMT
• Kevin Richard Gormley, PSYD

• Community/Retail Pharmacy in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.