OrganizationActive
Avalon Professional Pharmacy LLC
NPI 1790564417 · Long Term Care Pharmacy · Glenn Dale, MD
Provider details
- NPI number
- 1790564417
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Avalon Marketing Inc
- Organization subpart
- Yes
- Authorized official
- Jason Maduka, Pharmacy Owner/Pharmacy Manager(301) 383-0142
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
12100 Annapolis Rd Unit 2
Glenn Dale, MD 20769
Phone: (301) 383-0142
Fax: (301) 383-0143
Street-level locationGet directions
Mailing address
12100 Annapolis Rd Unit 2
Glenn Dale, MD 20769
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.