Nutrivene Pharmacy Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P00474 Issued in MD

Legal business name

NUTRIVENE PHARMACY GROUP INC

Doing business as

Oakdale Pharmacy

Practice address

1713 Edmondson Ave
Catonsville, MD 21228-4346

Phone

(410) 747-7320

Fax

(410) 719-7951

NPI assigned

Jun 8, 2006

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Huppmann

Title

Manager

Phone

(410) 474-7320

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• OAKDALE PHARMACY 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.

• Franklin Wayne Blatt, PHARMD

  • Pharmacist
  • Catonsville, MD
  • NPI 1730336751
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1427098177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 EDMONDSON AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284346",
            "telephone_number": "410-747-7320",
            "fax_number": "410-719-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 EDMONDSON AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284346",
            "telephone_number": "410-747-7320",
            "fax_number": "410-719-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIVENE PHARMACY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "HUPPMANN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-474-7320"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P00474",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055203800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2125082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rashad Vinson Norwood
• Nothing New Under the Sun Counseling LLC
• Yittel Bracha Novice, MCD CCC SLP
• Novus Pain Management - Maryland, LLC
• Novus Pain Management - Maryland, LLC
• Catherine O Nwah, NP
• Elekwachi N Nwaogbo, MD
• Amani Zuri-Chanel Nyansa, LCSW-C
• Morgan O'Clair
• Hope Susan O'Hara, LCSW-C

• Community/Retail Pharmacy in Catonsville, MD
• Providers in Catonsville, 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 Oct 20, 2010; 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.