DR. OTIS CLEVELAND JR.


Address: 10 King Street, Waldorf, MD 20602
Phone: 3016455161

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 17636 MD Pharmacy Service Providers

Office Location

Street Address 10 KING STREET
City WALDORF
State MD
Zip Code 20602

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City WALDORF
Zip Code 20602

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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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