DR. SHERYL ELAINE THEDFORD (NPI# 1023351723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023351723 |
| Entity Type | Individual |
| Full Name | DR. SHERYL ELAINE THEDFORD |
| Credential | PHD, PHARMD, BCPS |
| Practice Address |
22 S Greene St Suite N6w100 Baltimore MD 21201-1544 |
| Mailing Address |
20 N Pine St S436 Baltimore MD 21201-1142 |
| Practice Telephone | 4103286584 |
| Practice Fax Number | 4103280343 |
| Mailing Telephone | 4107061458 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
20623 | MD | Pharmacy Service Providers |
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
20623 | MD | Pharmacy Service Providers |
| Street Address |
22 S GREENE ST SUITE N6W100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
| 1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
| 1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
| 1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
| 1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
| 1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843636 | Douglas Lee Boggs | Pharmacist | 55 Wade Avenue, Maryland Psychiatric Research Center, Baltimore, MD 21228 | 2005-07-01 |
| 1922365626 | Coalition Mental Health Services | Pharmacist | 3509 Eastern Ave, Baltimore, MD 21224-4124 | 2012-04-19 |
| 1740394931 | Jami Lipan Butz | Pharmacist | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912019175 | Mona B Gobrail | Pharmacist | 9002 Phillip Dorsey Way, Columbia, MD 21045 | 2006-08-31 |
| 1275530081 | Marie A Mackowick | Pharmacist | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2005-07-07 |
| 1225035272 | Jon David Johnson | Pharmacist | 9050 Poorhouse Rd, Port Tobacco, MD 20677-3027 | 2005-07-06 |
| 1912564188 | Erica Davis | Pharmacist | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2019-05-23 |
| 1013483213 | David Cannon | Pharmacist | 55 Wade Ave, Catonsville, MD 21228-4663 | 2018-10-16 |
| 1497126908 | Howard County Health Department, Behavioral Health | Pharmacist | 8930 Stanford Blvd, Columbia, MD 21045 | 2015-10-09 |
| 1780055293 | Howard County Health Department, Behavioral Health | Pharmacist | 8930 Stanford Blvd, Columbua, MD 21045 | 2015-10-09 |
| 1407079114 | Lily Chen Lin | Pharmacist | 6501 N Charles St, Towson, MD 21204-6819 | 2007-04-11 |
| 1356470504 | Joshana K. Goga | Pharmacist | 6501 N Charles St, Towson, MD 21204-6819 | 2007-03-05 |
| 1740371673 | Debra Yardley | Pharmacist | Perry Point Va Medical Center, Pharmacy Service (119), Perry Point, MD 21902 | 2006-09-27 |
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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.