Collaborate Care Pharmacy & Wellness Center LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

13096 Issued in MD

Legal business name

COLLABORATE CARE PHARMACY & WELLNESS CENTER LLC

Practice address

3305 Garrison Blvd
Baltimore, MD 21216-1323

Phone

(410) 367-3305

Fax

(410) 367-3311

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Janet Egbe Ayuk, BSPHARM,PHARMD, RPH

Title

Clinical Pharmacist / Operations Ma

Phone

(410) 598-6486

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1831446574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161323",
            "telephone_number": "410-367-3305",
            "fax_number": "410-367-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161323",
            "telephone_number": "410-367-3305",
            "fax_number": "410-367-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATE CARE PHARMACY & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "AYUK",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "EGBE",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST / OPERATIONS MA",
        "authorized_official_telephone_number": "410-598-6486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BSPHARM,PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "13096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troi Coley
• Richard Colgan, MD
• Laura Colin, PA-C
• David Patrick Coll, M.D.
• Jessi Coll, AA, ADT
• Collaborating Psychiatrist LLC
• Collaborative Concepts of Maryland, LLC
• Joseph Collaco, M.D.
• Andre Lew Day Collado
• Collective Minds Behavioral Health

• Community Health Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.