Adepec Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P04004 Issued in MD

Legal business name

ADEPEC INC

Doing business as

Central Avenue Pharmacy

Practice address

1235 E Monument St
Baltimore, MD 21202-5327

Phone

(410) 276-3530

Fax

(410) 276-3531

NPI assigned

Dec 28, 2006

Last updated

Sep 17, 2015By 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

Steven Anifowhoshe, PHRM

Title

Owner

Phone

(410) 276-3532

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CENTRAL AVENUE PHARMACY Doing business as

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1932265816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WINDERMERE CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025327",
            "telephone_number": "410-276-3530",
            "fax_number": "410-276-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEPEC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "ANIFOWHOSHE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-276-3532",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403797900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL AVENUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abdullahi Adewale Adenola
• Olakunle A Adenugba, NP
• David Adeoye
• Simi Adeoye, LMSW
• Wakeelat A Adeoye
• Adeyinka A Adepoju, PT
• Eniola Adepoju
• Senami Adepoju
• Adept Therapy Services, LLC (Kupenda Pediatric Therapy Services)
• Chelsie Marie Ader

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, 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 Sep 17, 2015; 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.