NPIMap

Organization Active NPI

Alpha Healthcare LLC

Doing business as alpha pharmacy

  • Long Term Care Pharmacy
  • Baltimore, MD
National Provider Identifier
1396573838
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ALPHA HEALTHCARE LLC
Doing business as
alpha pharmacy
Practice address
3061 Frederick Ave Apt C
Baltimore, MD 21223-2758
Phone
(443) 453-9383
Fax
(443) 453-9483
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ALPHA HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Clement Adeboye AdebayoNPI 1497193833
Title
Pharmacist in Charge
Phone
(443) 453-9383

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

3061 Frederick Ave Apt C
Baltimore, MD 21223-2758

Mailing address

3061 Frederick Ave Apt C
Baltimore, MD 21223-2758
Phone (443) 453-9383

Other names 1

  • alpha pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alpha Healthcare LLC2 organizations share this tax ID, including this one
Part of
Alpha Healthcare LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1396573838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 FREDERICK AVE APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232758",
            "telephone_number": "443-453-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 FREDERICK AVE APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232758",
            "telephone_number": "443-453-9383",
            "fax_number": "443-453-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA HEALTHCARE LLC",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "ADEBOYE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "443-453-9383"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "alpha pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.