KISHA MONIQUE BLACKMON


Address: 5730 Woodcrest Ave, Philadelphia, PA 19131-2225
Phone: 2676449244

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183700000X Pharmacy Technician 30028491 PA Pharmacy Service Providers

Office Location

Street Address 5730 WOODCREST AVE
City PHILADELPHIA
State PA
Zip Code 19131-2225

Providers in the same zip code

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 Information

Taxonomy Code 183700000X
Grouping Pharmacy Service Providers
Classification Pharmacy Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City PHILADELPHIA
Zip Code 19131

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Dataset Information

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.

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