DR. FATOUMATA FANNY (NPI# 1528471018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528471018 |
| Entity Type | Individual |
| Full Name | DR. FATOUMATA FANNY |
| Credential | PHARMD |
| Practice Address |
1334 Crain Hwy Bowie MD 20716-1802 |
| Practice Telephone | 3012496575 |
| Practice Fax Number | 3012499259 |
| Mailing Telephone | 3012496575 |
| Mailing Fax Number | 3012499259 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17619 | MD | Pharmacy Service Providers |
| Street Address |
1334 CRAIN HWY |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285034579 | Eric George Saggio | Pharmacist | 1334 Crain Hwy, Bowie, MD 20716-1802 | 2014-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758428 | Oladapo Ekundayo | Pharmacist | 12614 Willow Marsh Ln, Bowie, MD 20720-4651 | 2020-04-07 |
| 1104463215 | Godlove Ngunde Ngunde | Pharmacist | 2507 Dunrobin Dr, Bowie, MD 20721-2898 | 2019-12-09 |
| 1295217230 | Jason M Tran | Pharmacist | 1302 Port Echo Ln, Bowie, MD 20716-1844 | 2018-09-06 |
| 1730666009 | Alaina M Robey | Pharmacist | 6305 Gradys Walk, Bowie, MD 20715-4022 | 2018-07-19 |
| 1679066963 | Saburi Sonekan | Pharmacist | 10501 Martin Luther King Jr Hwy, Bowie, MD 20720-4213 | 2018-06-11 |
| 1326439639 | Anhthu Tran | Pharmacist | 10401 Martin Luther King Jr Hwy # Hwt, Bowie, MD 20720-4201 | 2015-02-09 |
| 1942690581 | Brittany A Duke | Pharmacist | 4301 Taverngreen Ln, Bowie, MD 20720-3543 | 2015-02-04 |
| 1538561824 | Emmanuel Njoku | Pharmacist | 2804 Birdseye Ln, Bowie, MD 20715-3932 | 2014-09-18 |
| 1134537392 | Tyler Jay Watkins | Pharmacist | 6001 High Bridge Rd, Bowie, MD 20720-5205 | 2014-07-31 |
| 1629405311 | Thomas Bernard Kulish Jr. | Pharmacist | 12706 Keswick Ln, Bowie, MD 20715-2839 | 2013-09-26 |
| Find all providers in BOWIE | ||||
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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.