DR. MARY T TAVAKOLI (NPI# 1770053472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770053472 |
| Entity Type | Individual |
| Full Name | DR. MARY T TAVAKOLI |
| Credential | PHARMD |
| Practice Address |
7141 Security Blvd Windsor Mill MD 21244-1811 |
| Practice Telephone | 7033597878 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
17952 | MD | Pharmacy Service Providers |
| Street Address |
7141 SECURITY BLVD |
| City | WINDSOR MILL |
| State | MD |
| Zip Code | 21244-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699138537 | Faryal Zehra Nadeem | Internal Medicine | 7141 Security Blvd, Windsor Mill, MD 21244-1811 | 2016-03-29 |
| 1548632375 | Tyiesha Brown | Physical Therapist | 7141 Security Blvd, Windsor Mill, MD 21244-1811 | 2015-10-20 |
| 1942689484 | David Ridgway Stamp | Physical Therapist | 7141 Security Blvd, Windsor Mill, MD 21244-1811 | 2015-05-28 |
| 1457429854 | Valerie A Walker- Clark | Optometrist | 7141 Security Blvd, Windsor Mill, MD 21244 | 2006-12-01 |
| 1710055124 | Debra S G Javins | Physician Assistant | 7141 Security Blvd, Windsor Mill, MD 21244-1811 | 2006-12-01 |
| 1518039734 | Christopher Wu | Radiology | 7141 Security Blvd, Kaiser Permanente Woodlawn Medical Center, Windsor Mill, MD 21244-1811 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902022486 | Danny Ray Carter | Pharmacist | 4727 Hawksbury Rd, Pikesville, MD 21208-2129 | 2007-04-17 |
| 1710069430 | Parvaneh A Moussavian | Pharmacist | Walter Reed Military Medical, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2006-10-20 |
| 1023655800 | Riyo Rajan | Pharmacist | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2019-11-29 |
| 1386286813 | Katherine Kim | Pharmacist | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2019-10-16 |
| 1376908020 | Renee Farmer | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2015-12-23 |
| 1023489614 | Jonathan Michael Savoy | Pharmacist | 600 N Wolfe St, Carnegie 180, Baltimore, MD 21287-0005 | 2015-10-08 |
| 1194129973 | Matthew Joseph Newman | Pharmacist | 600 N. Wolfe Street, Carnegie 180, Baltimore, MD 21287 | 2014-10-22 |
| 1346644309 | Dina Jayanti Benani | Pharmacist | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2014-10-20 |
| 1790127074 | Augustine Gabriel | Pharmacist | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2013-07-26 |
| 1245676782 | Mikhail Arthur | Pharmacist | 655 Watkins Mill Rd, 3rd Floor, Oncology Pharmacy, Gaithersburg, MD 20879-3301 | 2013-05-10 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR MILL |
| Zip Code | 21244 |
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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.