OrganizationActive
Tidalhealth Atlantic, Inc
NPI 1700472321 · Clinic Pharmacy · Berlin, MD
Provider details
- NPI number
- 1700472321
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stephanie Gary, Svp, Finance/Cfo of Tidalhealth(410) 912-6059
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
9733 Healthway Dr
Berlin, MD 21811-1155
Phone: (410) 641-9241
Fax: (410) 641-9246
Street-level locationGet directions
Mailing address
9733 Healthway Dr
Berlin, MD 21811-1155
Other names (DBA / former)
- Other name
- Aghs Redi-Scripts
- Former legal business name
- Atlantic General Hospital Corporation
- Doing business as
- Tidalhealth Community Pharmacy
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.