Tidalhealth Atlantic, Inc
NPI 1700472321ActiveOrganization· Pharmacy, Clinic Pharmacy· Berlin, MD
Pharmacy, Clinic Pharmacy in Berlin, Maryland, registered in NPPES in December 2020. The authorized official on file is Stephanie Gary, Svp, Finance/Cfo Of Tidalhealth.
Overview
| NPI | 1700472321 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2020 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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