DR. JEREMY CUNDIFF (NPI# 1780198440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780198440 |
| Entity Type | Individual |
| Full Name | DR. JEREMY CUNDIFF |
| Credential | PHARM D. RPH |
| Practice Address |
4611 Assembly Drive Unit H Lanham MD 20706 |
| Mailing Address |
4611 Assembly Drive Unit H Lanham MD 20706 |
| Practice Telephone | 2406242200 |
| Practice Fax Number | 4107898456 |
| Mailing Telephone | 2406242200 |
| Mailing Fax Number | 4107898456 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15494 | MD | Pharmacy Service Providers |
| Street Address |
4611 ASSEMBLY DRIVE UNIT H |
| City | LANHAM |
| State | MD |
| Zip Code | 20706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| 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 |
|---|---|---|---|---|
| 1841774650 | Joan M Phillips | Pharmacist | 4611 Assembly Dr Ste H, Lanham, MD 20706-4841 | 2018-09-18 |
| 1275080848 | Samuel Ayotola Fasanmi | Pharmacist | 9420 Lanham Servern Rd, Lanham, MD 20706 | 2016-09-01 |
| 1205180023 | Edward Olusegun Ayanbiola | Pharmacist | 9900 Greenbelt Rd, Suite E-258, Lanham, MD 20706-2255 | 2012-10-31 |
| 1952662702 | Pride Fuanyi Njinkeng | Pharmacist | 9110 Mchenry Ln, Lanham, MD 20706-4158 | 2012-06-07 |
| 1407115421 | Aead Odeh | Pharmacist | 9510 Greenspring Ct, Lanham, MD 20706-3395 | 2012-05-10 |
| 1700154655 | Earl Ettienne | Pharmacist | 10305 Ackerly Ter, Lanham, MD 20706-2352 | 2011-12-07 |
| 1912288325 | Chika Nmezi | Pharmacist | 6509 Dawnwood Dr, Lanham, MD 20706-3555 | 2011-08-30 |
| 1316169246 | Jung Eun Lee | Pharmacist | 4551 Forbes Blvd, Lanham, MD 20706 | 2007-05-02 |
| 1114528239 | Omolara Adewunmi Adenikinju | Pharmacist | 10515 Greenbelt Rd, Lanham, MD 20706-2213 | 2020-11-04 |
| 1053910679 | Ludovic Azafack Tsague | Pharmacist | 8601 Martin Luther King Jr Hwy, Lanham, MD 20706-1500 | 2020-10-23 |
| Find all providers in LANHAM | ||||
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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.