Victree ,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VICTREE ,LLC

Doing business as

Penn Avenue Pharmacy And Medical Equipment

Practice address

1525 Pennsylvania Ave
Baltimore, MD 21217-3105

Phone

(202) 423-7499

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Oluwatoyin FolorunsoNPI 1083382493

Title

Manager

Phone

(202) 423-7499

Specialties & licenses 1

Addresses

Other names 1

• Penn Avenue Pharmacy And Medical Equipment Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oluwatoyin Folorunso

  • Pharmacist
  • Baltimore, MD
  • NPI 1083382493
  NPD Authorized official

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1316516990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PENNSYLVANIA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173105",
            "telephone_number": "202-423-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 PENNSYLVANIA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173105",
            "telephone_number": "202-423-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTREE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "FOLORUNSO",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-423-7499"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Avenue Pharmacy And Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victory Health Care Services LLC
• Victory Health Care Services LLC
• Victory Healthcare Services LLC
• Victory Medical Center
• Victory Medical Center
• Carolina Vidal, M.D., M.P.H.
• Patrick Vidal, MD
• Lawrence Vidaver, MD
• Tremecia Videau, LGSW
• Unknown Vidhu Vadini, MD

• 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 Aug 31, 2021; 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.