KISHA MONIQUE BLACKMON (NPI# 1285126862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285126862 |
Entity Type | Individual |
Full Name | KISHA MONIQUE BLACKMON |
Practice Address |
5730 Woodcrest Ave Philadelphia PA 19131-2225 |
Practice Telephone | 2676449244 |
Mailing Telephone | 2676449244 |
Enumeration Date | 2018-05-31 |
Last Update Date | 2018-05-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | 30028491 | PA | Pharmacy Service Providers |
Street Address |
5730 WOODCREST AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19131-2225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
Find all providers in zip 19131 |
Taxonomy Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
1003206590 | Fatima Jackson | Pharmacy Technician | 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 | 2015-02-04 |
1154711851 | Christina Vanburen | Pharmacy Technician | 712 Landis St, Philadelphia, PA 19124-3011 | 2015-02-02 |
1023408838 | Elona Gjini | Pharmacy Technician | 470 Gerhard St, Philadelphia, PA 19128-3457 | 2015-02-01 |
1720322670 | Tieraney Simmons | Pharmacy Technician | 4417 Richmond St, Philadelphia, PA 19137-2026 | 2012-11-15 |
1992096051 | Rath Sun | Pharmacy Technician | 2843 Bittern Place, Philadelphia, PA 19142 | 2011-04-25 |
1407073307 | Aisha Dark | Pharmacy Technician | 6008 W Thompson St, Philadelphia, PA 19151-4436 | 2007-04-20 |
1265657118 | Betty Beckham | Pharmacy Technician | 1949 N 32nd St, Apt. B, Philadelphia, PA 19121-1705 | 2007-04-16 |
1124418868 | Angela Joy Luczejko | Pharmacy Technician | 1 Mifflin St, Philadelphia, PA 19148-2017 | 2015-02-03 |
1780074492 | Renee Wilson | Pharmacy Technician | 7400 Bustleton Ave, Philadelphia, PA 19152-4312 | 2015-02-02 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19131 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.