Mid-Atlantic Ventures, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P03079 Issued in MD

Legal business name

MID-ATLANTIC VENTURES, INC

Practice address

2021 W Pratt St
Baltimore, MD 21223-2242

Phone

(410) 566-1360

Fax

(410) 566-5088

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gbenga Isaac Olajide, R.PH.NPI 1376660993

Title

President/Pharmacist MGR.

Phone

(410) 566-1360

Specialties & licenses 1

Addresses

Other names 1

• Westside Pharmacy & Wellness Center Doing business as

Locations

Practitioners 2

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

• Gbenga Isaac Olajide, R.PH.

  • Pharmacist
  • Baltimore, MD
  • NPI 1376660993
  NPD (past) Authorized official
• Ifedayo Osuntuyi

  • Pharmacist
  • Baltimore, MD
  • NPI 1376037630
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1326094574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232242",
            "telephone_number": "410-566-1360",
            "fax_number": "410-566-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232242",
            "telephone_number": "410-566-1360",
            "fax_number": "410-566-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC VENTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-03-07",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "OLAJIDE",
        "authorized_official_first_name": "GBENGA",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST MGR.",
        "authorized_official_telephone_number": "410-566-1360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P03079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Pharmacy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mid-Atlantic Treatment Services, Inc
• Mid-Atlantic Ventures, Inc
• Midas RX Pharmacy LLC
• Midas RX Pharmacy LTC
• Midatlantic Cardiovascular Associates PA
• Midatlantic Diagnostics, LLC
• Cassie Lee Midcap

• 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 Mar 7, 2023; 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.