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Avalon Professional Pharmacy LLC

Long Term Care Pharmacy in Glenn Dale, MD · enumerated 2023 · authorized official Jason Maduka, Pharmacy Owner/Pharmacy Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790564417

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Avalon Professional Pharmacy LLC
Parent organization Avalon Marketing Inc
Practice address 12100 Annapolis Rd Unit 2, Glenn Dale, MD, 20769
Phone (301) 383-0142
Fax (301) 383-0143
Enumeration date Sep 22, 2023
Last updated in NPPES Dec 8, 2025

Taxonomy & classification

3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Jason Maduka
Title Pharmacy Owner/Pharmacy Manager
Phone (301) 383-0142

Other identifiers

Identifier Type State Issuer
456105800 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Avalon Professional Pharmacy LLC?
NPPES lists Jason Maduka (Pharmacy Owner/Pharmacy Manager) as the authorized official for this organization.
What is the NPI number for Avalon Professional Pharmacy LLC?
The NPI for Avalon Professional Pharmacy LLC is 1790564417, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-08.