PADEK HEALTHCARE INC. NPI 1104852607

NPI Information

  • NPI: 1104852607
  • Provider Name: PADEK HEALTHCARE INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • :
  • Address: 5403A ANNAPOLIS RD
    BLADENSBURG, MD
    ZIP 20710
  • Phone: (301) 277-7107

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NPI Details

PADEK HEALTHCARE INC. is a pharmacy in Bladensburg, MD. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PADEK HEALTHCARE INC. NPI is 1104852607. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5403A ANNAPOLIS RD
BLADENSBURG, MD
ZIP 20710-201
Phone: (301) 277-7107
Fax: (301) 277-7127

The provider's authorized official is Prince Ayodele Adekoya .
The authorized official title is Pharmacist Owner and has the following contact phone number (301) 277-7107.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)

The enumeration date for this NPI number is 6/25/2006 and was last updated on 10/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyP04314MARYLANDNo
23336L0003XPharmacyLong Term Care PharmacyP04314MARYLANDNo
33336S0011XPharmacySpecialty PharmacyP04314MARYLANDNo
43336C0004XPharmacyCompounding PharmacyP04314MARYLANDNo
5332B00000XDurable Medical Equipment & Medical SuppliesP04314MARYLANDNo
6333600000XPharmacyP04314MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1037024500MEDICAIDDISTRICT OF COLUMBIA
2420075600MEDICAIDMARYLAND
3420053500MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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