Gopher Wood Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOPHER WOOD CORP

Doing business as

MAXCARE PHARMACY

Practice address

7448 Baltimore Annapolis Blvd Ste a
Glen Burnie, MD 21061-3468

Phone

(410) 553-4137

Fax

(410) 487-6142

NPI assigned

Jul 28, 2020

Organization subpart

Yes

Parent organization

GOPHER WOOD CORPAs reported in NPPES

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

Authorized official

Name

Dr. Olujimi Babatunde, DR, RPH

Title

Pharmacy Owner

Phone

(410) 553-4137

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAXCARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1720697436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 BALTIMORE ANNAPOLIS BLVD STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613468",
            "telephone_number": "410-553-4137",
            "fax_number": "410-487-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 BALTIMORE ANNAPOLIS BLVD STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613468",
            "telephone_number": "410-553-4137",
            "fax_number": "410-487-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOPHER WOOD CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOPHER WOOD CORP",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "BABATUNDE",
        "authorized_official_first_name": "OLUJIMI",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "410-553-4137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166752100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nayeli Gonzalez Flores
• Kelsey Leann Good, CPRP
• Juliet Goozh, PHD
• Gopher Wood Corp
• Gopher Wood Corp
• Elliott Gorbaty, M.D.
• Ineta Maria Gordon, LMT
• Kevin Richard Gormley, PSYD
• Lenita Naomi Gorrell, M.D.
• Darryl Gotwalt

• Community/Retail Pharmacy in Glen Burnie, MD
• Providers in Glen Burnie, 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 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.