NPIMap

Organization Active NPI

Dynamic Ventures Holdings

Doing business as dynamic care pharmacy

  • Pharmacy
  • Columbia, MD
National Provider Identifier
1376810846
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DYNAMIC VENTURES HOLDINGS
Doing business as
dynamic care pharmacy
Practice address
7120 Minstrel Way
Columbia, MD 21045-5248
Phone
(410) 290-3903
Fax
(240) 206-3762
NPI assigned
Nov 28, 2011
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Omolola Folasade PefokNPI 1851045975
Title
Pharmacist
Phone
(301) 455-1494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

7120 Minstrel Way
Columbia, MD 21045-5248

Mailing address

7120 Minstrel Way
Columbia, MD 21045-5248
Phone (410) 290-3903

Other names 1

  • dynamic care pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1376810846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455248",
            "telephone_number": "410-290-3903",
            "fax_number": "240-206-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455248",
            "telephone_number": "410-290-3903",
            "fax_number": "240-206-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC VENTURES HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "PEFOK",
        "authorized_official_first_name": "OMOLOLA",
        "authorized_official_middle_name": "FOLASADE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "301-455-1494"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dynamic care pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.