TIDALHEALTH ATLANTIC, INC.
NPI 1003227729
Pharmacy in Berlin, MD

Q: What is Tidalhealth Atlantic, Inc.'s NPI number?

The NPI number for Tidalhealth Atlantic, Inc. is 1003227729. It was assigned to this organization in the NPPES registry on May 15, 2014. The provider is doing business as TidalHealth Community Pharmacy. The provider is also known as AGH RediScripts Pharmacy. The provider was formerly known as Atlantic General Hospital Corporation.

Q: What is Tidalhealth Atlantic, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since May 15, 2014CLIA 21D0869030 · Accreditation

9733 HEALTHWAY DR, BERLIN, MD 21811(410) 641-9727(410) 641-9750 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, May 30, 2025, Nov 17, 2021 and 3 more (6 updates tracked since 2016).

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About Tidalhealth Atlantic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDALHEALTH ATLANTIC, INC. (NPI 1003227729), doing business as Tidalhealth Community Pharmacy, is a healthcare organization registered as a pharmacy in Berlin, Maryland and active in the NPI registry since May 2014. The organization holds an CLIA Accreditation certificate valid through June 12, 2027 and lists Stephanie Gary, Svp, Finance/cfo Of Tidalhealth, as its authorized official.

NPPES Registry Identity

NPI1003227729

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameTIDALHEALTH ATLANTIC, INC.

Location Address9733 HEALTHWAY DRBerlin, MD 21811-1155

Mailing Address9733 Healthway DrBerlin, MD 21811-1155 · (410) 641-9240 · Fax (410) 641-9246

Phone(410) 641-9727

Fax(410) 641-9750

Organization SubpartNo

Authorized OfficialStephanie GarySvp, Finance/cfo Of Tidalhealth · (410) 912-6059

Enumeration DateMay 15, 2014

Last NPPES UpdateMarch 11, 20266 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1003227729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MD · P06310

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

9733 HEALTHWAY DR, Berlin, MD 21811

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Other Names 3

Doing Business AsTidalhealth Community Pharmacy

Former Legal Business NameAtlantic General Hospital Corporation

Other NameAgh Rediscripts Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 21D0869030

Tidalhealth Atlantic, Inc · Berlin, MD

Active · expires Jun 12, 2027

CLIA Number21D0869030

Laboratory TypeHospital

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorEric Weaver MD

Laboratory Phone(410) 641-9633

Laboratory LocationTidalhealth Atlantic, Inc9733 Healthway Drive, Berlin, MD 21811

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

319 services318 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

305 services304 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services14 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services14 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN A. GILLESPIE M.D.

Family Medicine