LEE AHLSTROM (NPI# 1902185697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902185697 |
| Entity Type | Individual |
| Full Name | LEE AHLSTROM |
| Credential | RPH |
| Practice Address |
11307 Manklin Creek Rd Berlin MD 21811 |
| Mailing Address |
6 Alton Pt Berlin MD 21811-1739 |
| Practice Telephone | 4102083811 |
| Mailing Telephone | 4102081249 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 07472 | MD | Pharmacy Service Providers |
| Street Address |
11307 MANKLIN CREEK RD |
| City | BERLIN |
| State | MD |
| Zip Code | 21811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407253891 | A V P Pharma Inc | Pharmacy | 11307 Manklin Creek Rd, Unit 1, Berlin, MD 21811-4014 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| Find all providers in zip 21811 | ||||
| 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 |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1477152825 | Sanjib Nandi | Pharmacist | N8627 Red Tail Hawk Blvd, Berlin, WI 54923-8816 | 2020-10-17 |
| 1710541842 | Patricia Cafoe | Pharmacist | 13 Pine Valley Rd, Berlin, NJ 08009-9492 | 2019-04-24 |
| 1295274678 | Orsola Savi | Pharmacist | 1135 Farmington Ave, Berlin, CT 06037-5200 | 2017-02-17 |
| 1144681552 | Agata Dabek | Pharmacist | 308 Berlin Tpke, Berlin, CT 06037-1506 | 2016-03-11 |
| 1306239132 | Dorothy Anne Prigodich | Pharmacist | 196 Dunham Dr, Berlin, CT 06037-3034 | 2015-03-18 |
| 1023368875 | Jessica Marie Remillard | Pharmacist | 85 Hinchey Street, Berlin, NH 03570-1649 | 2012-09-19 |
| 1790082816 | Thomas Joseph Olerta Jr. | Pharmacist | 10119 Old Ocean City Blvd, Berlin, MD 21811-1143 | 2011-02-25 |
| 1912214842 | Song Min Hong | Pharmacist | 186 S White Horse Pike, Berlin, NJ 08009-1932 | 2010-09-14 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in BERLIN | ||||
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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.