Govans Professional Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01126 Issued in MD

Legal business name

GOVANS PROFESSIONAL PHARMACY

Practice address

5109 York Rd
Baltimore, MD 21212-4399

Phone

(410) 532-9796

Fax

(410) 532-6418

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Steve Anifowoshe, PHRM

Title

Owner

Phone

(410) 532-9796

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GOVANS PROFESSIONAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1154491231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124399",
            "telephone_number": "410-532-9796",
            "fax_number": "410-532-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124399",
            "telephone_number": "410-532-9796",
            "fax_number": "410-532-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVANS PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "ANIFOWOSHE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-532-9796",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033877",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272822000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOVANS PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiana Gourdine
• Rivkah Masada Gourdji
• Christine G. Gourin, MD
• Saikrishna Chaitanya Gourishetti, MD
• Kyle Gouveia
• Tejasvi Gowda, MD
• Patricia Gower, PHD
• Linda Gowie
• Archita Goyal, MD, MPH
• Ashley Kate Goyette, OTR/L

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, 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 Oct 7, 2016; 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.