Healthcare Provider Details

I. General information

NPI: 1235167297
Provider Name (Legal Business Name): GREATER BALTIMORE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6715 N CHARLES ST STE 125
BALTIMORE MD
21204-6822
US

IV. Provider business mailing address

6701 N CHARLES STREET S CHAPMAN BUILDING SUITE 102
BALTIMORE MD
21263-6808
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-6809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JENORA PARKER
Title or Position: MANAGER PHARMACY SERVICES
Credential:
Phone: 443-849-2657