MAXCARE PHARMACY (NPI# 1720697436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720697436 |
Entity Type | Organization |
Organization Name | MAXCARE PHARMACY |
Practice Address |
7448 Baltimore Annapolis Blvd Ste A Glen Burnie MD 21061-3468 |
Mailing Address |
8736 Blazing Brook Way Elkridge MD 21075-6623 |
Practice Telephone | 4435314975 |
Mailing Telephone | 4435314975 |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-07-28 |
Authorized Official Name | DR. SHAWN CHIAMBAH (PHARMACIST OWNER) |
Authorized Official Telephone | 4435314975 |
Authorized Official Credential | PHD, RPH |
Is Organization Subpart | Y |
Parent Organization Name | GOPHER WOOD |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers |
Other Name | Type Code |
---|---|
GOPHER WOOD | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922496710 | Maxcare Pharmacy | Durable Medical Equipment & Medical Supplies | 2810 W Devon Ave, Chicago, IL 60659-1502 | 2014-12-31 |
Street Address |
7448 BALTIMORE ANNAPOLIS BLVD STE A |
City | GLEN BURNIE |
State | MD |
Zip Code | 21061-3468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
Find all providers in zip 21061 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265087183 | Henry Theodore Lederer | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2019-08-07 |
1710544002 | Christiane Aaliyah Holloway | Pharmacist | 7400 Ritchie Hwy, Glen Burnie, MD 21061-3110 | 2019-05-22 |
1720533920 | Emily Frances Zoelle | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2016-08-18 |
1609321991 | Jacqueline M Burr | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2016-08-17 |
1285993733 | Ronald Wayne Baker | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2012-05-03 |
1447522198 | Pegah Parvizian | Pharmacist | 305 Hospital Dr, Suite B101, Glen Burnie, MD 21061-5805 | 2012-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255966735 | David Lee Lowery | Pharmacist | 1102 Midvale Ave, Mount Airy, MD 21771-5522 | 2020-03-05 |
1639703523 | Mary Katherine Emadi | Pharmacist | 1320 Londontown Blvd, Eldersburg, MD 21784-6409 | 2020-02-28 |
1245878875 | Crowns Pharmacy LLC | Pharmacist | 9705 Fort Meade Rd, Laurel, MD 20707-4405 | 2019-12-13 |
1932750536 | Oluwadamilola Ademiluyi | Pharmacist | 202 Bottsford Ave, Upper Marlboro, MD 20774-8416 | 2019-09-25 |
1093361008 | Mark Adjetey | Pharmacist | 18924 Marsh Hawk Ln, Gaithersburg, MD 20879-1774 | 2019-08-15 |
1841760048 | Roudabeh Faghri | Pharmacist | 1201 Dutchmans Creek Dr, Brunswick, MD 21716-9770 | 2018-11-29 |
1003384678 | Prime Clinical Associates, LLC | Pharmacist | 9019 Sunni Shade Ct, Perry Hall, MD 21128-9222 | 2018-11-12 |
1922594837 | Adebayo Ajifolokun | Pharmacist | 2307 Clerklee Way, Bowie, MD 20721-1866 | 2018-07-03 |
1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
1396272928 | Min S Kwon | Pharmacist | 14347 Musgrove Farm Ct, Glenwood, MD 21738-9535 | 2017-05-13 |
Find all providers with the same taxonomy |
City | GLEN BURNIE |
Zip Code | 21061 |
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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.