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Tidalhealth Atlantic, Inc.

NPI 1558182444ActiveOrganization· Pharmacy, Clinic Pharmacy· Berlin, MD

Pharmacy, Clinic Pharmacy in Berlin, Maryland, registered in NPPES in October 2024. The authorized official on file is Stephanie Gary, Svp, Finance/Cfo Of Tidalhealth.

Overview

NPI1558182444
StatusActive
Entity typeOrganization
NPI issuedOct 23, 2024
Last updated in NPPESMar 11, 2026
Certified by providerMar 11, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Clinic Pharmacy Primary3336C0002X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy, Clinic Pharmacy providers in Berlin

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