Active NPI
Padek Healthcare Inc.
- Community/Retail Pharmacy
- Hyattsville, MD
National Provider Identifier
1245720994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07870
- Legal business name
- PADEK HEALTHCARE INC.
- Practice address
- 5814 Baltimore Ave
Hyattsville, MD 20781-1623 - Phone
- (301) 277-7107
- Fax
- (301) 277-7127
- NPI assigned
- May 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prince Adekoya
- Title
- President
- Phone
- (240) 731-3766
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07870 | MD | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
5814 Baltimore Ave
Hyattsville, MD 20781-1623
Mailing address
5814 Baltimore Ave
Hyattsville, MD 20781-1623
Phone (240) 731-3766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177296 | Other | PK |
Other names 1
- PADEK HEALTHCARE PHARMACY II
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@padekhealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200805000115 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0446458467 |
1 other NPI on this enrollment Practice locations: Bladensburg, MD; Hyattsville, 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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1245720994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5814 BALTIMORE AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811623",
"telephone_number": "240-731-3766",
"fax_number": "301-277-7127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5814 BALTIMORE AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811623",
"telephone_number": "301-277-7107",
"fax_number": "301-277-7127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PADEK HEALTHCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-17",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "ADEKOYA",
"authorized_official_first_name": "PRINCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-731-3766"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P07870",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2177296",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@padekhealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5814 Baltimore Ave",
"city": "Hyattsville",
"state": "MD",
"country_code": "US",
"postal_code": "207811623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "PADEK HEALTHCARE PHARMACY II",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hyattsville, 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.