The Pavilion Corporation
NPI 1194760520 · Community/Retail Pharmacy · Baltimore, MD
The Pavilion Corporation is a Community/Retail Pharmacy organization in Baltimore, MD (NPI 1194760520).
Provider details
- NPI number
- 1194760520
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Adesola Otubanjo, Pic(410) 467-4471
Specialties & taxonomies
Suppliers
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Waverly Professional Pharmacy
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2010-03-11
Frequently asked questions
- What is The Pavilion Corporation's NPI number?
- The Pavilion Corporation's National Provider Identifier (NPI) is 1194760520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Pavilion Corporation?
- The Pavilion Corporation is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is The Pavilion Corporation located?
- The Pavilion Corporation's practice location on file with NPPES is 453 E 28th St, Baltimore, MD 21218-4426.
- What is The Pavilion Corporation's phone number?
- The practice phone number listed in the NPPES registry for The Pavilion Corporation is (410) 467-4471.
- Who is the authorized official for The Pavilion Corporation?
- The authorized official listed on The Pavilion Corporation's NPPES record is Adesola Otubanjo, Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Pavilion Corporation's NPI active?
- Yes — The Pavilion Corporation's NPI (1194760520) is active in the NPPES registry as of the last update on 2010-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.