ALEXIS HENDERSON (NPI# 1306311154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306311154 |
| Entity Type | Individual |
| Full Name | ALEXIS HENDERSON |
| Practice Address |
6104 Old Branch Ave Temple Hills MD 20748-2518 |
| Mailing Address |
3115 Elsa Ave Waldorf MD 20603-4055 |
| Practice Telephone | 3017026175 |
| Mailing Telephone | 2024925495 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | T19288 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457836306 | Alexis Henderson | Speech-Language Pathologist | 511 El Camino Real St, Socorro, NM 87801-5105 | 2018-09-26 |
| 1245431360 | Alexis Patrice Henderson | Pain Medicine | 51 S. Main Ave, Suite 318, Clearwater, FL 33765 | 2007-05-29 |
| 1255491064 | Alexis Henderson | Counselor | 3275 Lakeshore Dr, Washoe Valley, NV 89704 | 2006-12-11 |
| Street Address |
6104 OLD BRANCH AVE |
| City | TEMPLE HILLS |
| State | MD |
| Zip Code | 20748-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982670949 | Steven Kenneth Seigel | Family Medicine | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2006-02-28 |
| 1417595596 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2019-12-19 |
| 1508356239 | Deonte David Carter | Pharmacy Technician | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2018-05-17 |
| 1366932477 | Shakia Wilson | Pharmacy Technician | 6104 Old Branch Ave, Temple Hills, MD 20748-2557 | 2018-05-14 |
| 1689189979 | Sharon A Wright | Registered Nurse | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2017-12-08 |
| 1467908152 | Lisa Robinson | Pharmacist | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2016-09-01 |
| 1235592569 | Olufunmilayo Rebecca Agunbiade | Pharmacist | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2016-04-04 |
| 1841604790 | Dilasha Katwal | Internal Medicine | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2014-06-19 |
| 1174966220 | Frederick Asamoah Sr. | Pharmacist | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2013-04-08 |
| 1235471582 | Christopher O Mbah | Pharmacist | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2013-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316579873 | Brightway Professionals and Associates | Clinic/Center | 4810 St.barnabas Rd, Suite 201, Temple Hills, MD 20748 | 2020-02-12 |
| 1235783085 | Jasmine Lenee Carter | Behavior Technician | 5506 Clothier St., Temple Hills, MD 20748 | 2019-07-30 |
| 1649760075 | Livewell Family Clinic LLC | Clinic/Center | 3611 Branch Ave Ste 404, Temple Hills, MD 20748 | 2018-05-10 |
| 1346785474 | Cardinal Health Care Solution LLC | Home Health | 4905 Faith Crossin Ct, Templehills, MD 20748 | 2016-12-28 |
| 1205370095 | Crystal Hughes | Specialist | 6337 Old Branch Ave Shop 37, Camp Springs, MD 20748 | 2016-12-13 |
| 1417385444 | Ibhs LLC | Substance Abuse Rehabilitation Facility | 5000 Barnabas Road, Ct2, Temple Hills, MD 20748 | 2013-10-30 |
| 1063848703 | Oluwagbenga Jegede | Home Health Aide | 6516 Allentown Rd, Temple Hills, MD 20748 | 2013-09-25 |
| 1184067514 | Vijaya Lakshmi Alla | Family Medicine | 6014 Old Branch Avenue, Temple Hills, MD 20748 | 2013-04-16 |
| 1215178959 | Patricia Ann Carter | Counselor | 5121 Henderson Road, Suite 101, Temple Hills, MD 20748 | 2009-03-10 |
| 1427220888 | Emerging Vision | Technician/Technologist | 3801 D Branch Ave, Iverson Mall, Temple Hills, MD 20748 | 2008-03-26 |
| Find all providers in zip 20748 | ||||
| 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 |
|---|---|---|---|---|
| 1508356239 | Deonte David Carter | Pharmacy Technician | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2018-05-17 |
| 1366932477 | Shakia Wilson | Pharmacy Technician | 6104 Old Branch Ave, Temple Hills, MD 20748-2557 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778061 | Kellie Young | Pharmacy Technician | 9004 Townsend Ln, Clinton, MD 20735-2870 | 2020-10-16 |
| 1881211241 | Jennifer Anne Suminski | Pharmacy Technician | 18759 Diller Dr, Hagerstown, MD 21742-2434 | 2020-07-01 |
| 1255962882 | Marjan Hosseinnia | Pharmacy Technician | 25 Dunvale Rd Apt 225, Towson, MD 21204-2527 | 2020-02-02 |
| 1952874406 | Shauntae Turner | Pharmacy Technician | 315 Dark Star Way, Glen Burnie, MD 21060-7442 | 2019-01-08 |
| 1194205153 | Khadijah Keita | Pharmacy Technician | 1512 Woodwell Rd, Silver Spring, MD 20906 | 2018-08-20 |
| 1922504083 | Hoangnam Kim Tran | Pharmacy Technician | 6525 Belcrest Rd Ste 207, Hyattsville, MD 20782-2062 | 2018-04-05 |
| 1992200588 | Brian Ennis | Pharmacy Technician | 2811 Gresham Way Unit 102, Baltimore, MD 21244-3921 | 2018-03-27 |
| 1023566965 | Amanda Arbour | Pharmacy Technician | 111 Sturgill Dr, Bel Air, MD 21015-6111 | 2016-09-21 |
| 1689026361 | Myshaurna Harrison | Pharmacy Technician | 48 Solar Cir Apt L, Parkville, MD 21234-6832 | 2016-07-06 |
| 1881050722 | Jessica Mccorkle | Pharmacy Technician | 3600 Boston St, Baltimore, MD 21224-5729 | 2016-01-07 |
| Find all providers with the same taxonomy | ||||
| City | TEMPLE HILLS |
| Zip Code | 20748 |
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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.