LISA DISTEFANO (NPI# 1750989125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750989125 |
| Entity Type | Individual |
| Full Name | LISA DISTEFANO |
| Practice Address |
9000 Franklin Square Dr Baltimore MD 21237-3901 |
| Mailing Address |
11845 Gontrum Rd Kingsville MD 21087-1356 |
| Practice Telephone | 4437777000 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13117 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810789 | Lisa G. Distefano | Internal Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2005-06-09 |
| Street Address |
9000 FRANKLIN SQUARE DR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853070 | Mingxia Xi | Specialist | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2005-06-28 |
| 1720694490 | Medstar Medical Group II LLC | Health Educator | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-09-18 |
| 1205454535 | Taylor Leigh Hook | Physician Assistant | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-07-13 |
| 1326664954 | Rebecca Jo Hartnett | Counselor | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-06-19 |
| 1609491075 | Karen Polite-lamma | Registered Nurse | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-06-11 |
| 1386273076 | Seychelle Devries | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-04-03 |
| 1346879459 | Zachary Everette Darby | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-04-02 |
| 1609404474 | Kan Hong Zheng | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-29 |
| 1457989261 | Chrystal Lynette Pristell | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-28 |
| 1922636737 | Suprit Chelsea Singh | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| 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 |
|---|---|---|---|---|
| 1588265623 | Michael Tyler Lundy | Pharmacist | 7920 Belair Rd, Baltimore, MD 21236-3706 | 2020-11-05 |
| 1780291112 | Simon K Muraguri | Pharmacist | 1403 E Cold Spring Ln Ste B, Baltimore, MD 21239-3913 | 2020-09-29 |
| 1124633425 | Kalev G Latova | Pharmacist | 6506 Gardenwick Rd, Baltimore, MD 21209-2538 | 2020-09-14 |
| 1083258024 | Alan Shen Lin | Pharmacist | 250 President St Unit 1001, Baltimore, MD 21202-4440 | 2019-11-02 |
| 1427699560 | Chelsea Niemah Ray | Pharmacist | 4140 E Joppa Rd, Baltimore, MD 21236-2223 | 2019-09-30 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1780240325 | George Desales Garmer | Pharmacist | 2772 Lighthouse Pt E Unit 415, Baltimore, MD 21224-5048 | 2019-05-18 |
| 1679034292 | Uyen Phuong Nguyen | Pharmacist | 1340 Smith Ave Ste A, Baltimore, MD 21209-3736 | 2019-03-27 |
| 1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
| 1194291211 | Brittney Brooks-grey | Pharmacist | 3507 Brendan Ave, Baltimore, MD 21213-1905 | 2018-10-16 |
| Find all providers in BALTIMORE | ||||
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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.