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NPI Code Detail

MEDICARE: PADEK HEALTHCARE INC.

MEDICARE: PADEK HEALTHCARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2332BN1400XNursing Facility Supplies (DME)
33336C0004XCompounding Pharmacy
4332BP3500XParenteral & Enteral Nutrition Supplies (DME)
5333600000XPharmacy
63336L0003XLong Term Care Pharmacy
73336S0011XSpecialty Pharmacy
83336C0003XCommunity/Retail PharmacyP07870MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12177296OTHERPK

General Provider Information

NPI Number : 1245720994
Entity Type Code : Organization
Provider Name (Legal Business Name) : PADEK HEALTHCARE INC.
Provider Business Mailing Address
First Line : 5814 BALTIMORE AVE
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20781-1623
Country : US
Telephone Number : 240-731-3766
Fax Number : 301-277-7127
Provider Business Practice Location Address
First Line : 5814 BALTIMORE AVE
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20781-1623
Country : US
Telephone Number : 301-277-7107
Fax Number : 301-277-7127
Authorized Official
Title or Position : PRESIDENT
Name : PRINCE ADEKOYA
Credential :
Telephone Number : 240-731-3766
Provider Enumeration Date : 05/17/2018
Last Update Date : 10/08/2025

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Directions to “PADEK HEALTHCARE INC. ” Practice Location

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