DR. OTIS CLEVELAND JR. (NPI# 1588097323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588097323 |
Entity Type | Individual |
Full Name | DR. OTIS CLEVELAND JR. |
Credential | PHARMD |
Practice Address |
10 King Street Waldorf MD 20602 |
Practice Telephone | 3016455161 |
Practice Fax Number | 3013749783 |
Mailing Telephone | 3016455161 |
Mailing Fax Number | 3013749873 |
Enumeration Date | 2013-08-15 |
Last Update Date | 2014-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 17636 | MD | Pharmacy Service Providers |
Street Address |
10 KING STREET |
City | WALDORF |
State | MD |
Zip Code | 20602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
Find all providers in zip 20602 |
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 |
---|---|---|---|---|
1184224842 | Camille B Ware | Pharmacist | 3297 Plaza Way, Waldorf, MD 20603-4861 | 2020-10-30 |
1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
1891235776 | Peterpaul Ijezie | Pharmacist | 8950 Cottongrass St, Waldorf, MD 20603-4952 | 2017-02-27 |
1467995308 | Tawfik Beshir | Pharmacist | 9378 Pep Rally Ln, Waldorf, MD 20603-3845 | 2016-11-27 |
1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
1972916245 | Ayman Mohamed | Pharmacist | 787 Mccoy Dr, Waldorf, MD 20602-2891 | 2014-06-04 |
1649538430 | Geoffrey Delane Buff | Pharmacist | 12114 Old Line Ctr, Waldorf, MD 20602-2553 | 2012-04-30 |
1336437938 | Ashok Pettem | Pharmacist | 11710 Henryetta Ct, Waldorf, MD 20602-4189 | 2011-07-16 |
Find all providers in WALDORF |
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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.