PRIME CLINICAL ASSOCIATES, LLC (NPI# 1003384678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003384678 |
Entity Type | Organization |
Organization Name | PRIME CLINICAL ASSOCIATES, LLC |
Practice Address |
9019 Sunni Shade Ct Perry Hall MD 21128-9222 |
Practice Telephone | 4438476822 |
Mailing Telephone | 4438476822 |
Enumeration Date | 2018-11-12 |
Last Update Date | 2018-11-12 |
Authorized Official Name | DR. CHAUNTE F HARRIS (OWNER) |
Authorized Official Telephone | 4438476822 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
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 |
---|---|
Prime Clinical Associates | Doing Business As Name - Organization |
Street Address |
9019 SUNNI SHADE CT |
City | PERRY HALL |
State | MD |
Zip Code | 21128-9222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154955011 | E-psychiatriq LLC | Nurse Practitioner | 5004 Honeygo Center Drive, Suite 102 #197, Perry Hall, MD 21128 | 2020-02-28 |
1043705502 | C and C Loving Heart Health Care Agency | Nursing Care | 5122 Crest Haven Way, Perry Hall, MD 21128 | 2018-06-27 |
1285995241 | Caren R Williams | Nurse Practitioner | 5009 Honeygo Center Drive, Suite 225, Perry Hall, MD 21128 | 2012-06-06 |
1336449677 | Indira P Rallapalli | Pharmacist | 9645 Belair Road, Perry Hall, MD 21128 | 2010-11-02 |
1942484209 | Jeff Zhang | Orthopaedic Surgery | 5110 Hugunin Way, Perry Hall, MD 21128 | 2007-12-21 |
1023047040 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 9645 Belair Rd, Perry Hall, MD 21128 | 2006-07-02 |
1386604593 | J Nicholas Leyko Dds Pa | Dentist | 4204 Forge Road, Perry Hall, MD 21128 | 2006-03-23 |
1205447539 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 9645 Belair Rd, Perry Hall, MD 21128 | 2020-08-11 |
1194115287 | Joseph Alexander Yurek Jr. | Pharmacy Technician | 6 Farm Brook Ct, Perry Hall, MD 21128-8808 | 2015-01-28 |
1528443629 | Olumide Savage | Occupational Therapist | 8814 Baileys Ct, Perry Hall, MD 21128-8814 | 2015-07-30 |
Find all providers in zip 21128 |
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 |
---|---|---|---|---|
1720697436 | Maxcare Pharmacy | Pharmacist | 7448 Baltimore Annapolis Blvd Ste A, Glen Burnie, MD 21061-3468 | 2020-07-28 |
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 |
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 | PERRY HALL |
Zip Code | 21128 |
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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.