MARINA BOUTROS (NPI# 1023396215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023396215 |
| Entity Type | Individual |
| Full Name | MARINA BOUTROS |
| Practice Address |
7556 Teague Rd Hanover MD 21076-1213 |
| Mailing Address |
5109 Brady Ct Ellicott City MD 21043-7055 |
| Practice Telephone | 4437550600 |
| Mailing Telephone | 4437550600 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 20001 | MD | Pharmacy Service Providers |
| Street Address |
7556 TEAGUE RD |
| City | HANOVER |
| State | MD |
| Zip Code | 21076-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182274 | Falana Carter | Family Medicine | 7556 Teague Rd, Suite 210, Hanover, MD 21076-1213 | 2006-02-08 |
| 1801449723 | Laniqua Z. Richardson | Nurse Practitioner | 7556 Teague Rd, Hanover, MD 21076-1213 | 2019-07-19 |
| 1689101321 | Centers for Advanced Orthopaedics LLC | Chiropractor | 7556 Teague Rd, Suite 240, Hanover, MD 21076 | 2017-05-12 |
| 1629436266 | Heather Foster | Dentist | 7556 Teague Rd, Hanover, MD 21076-1213 | 2016-02-09 |
| 1083093322 | David Bonebreak Dds Ms LLC | Clinic/Center | 7556 Teague Rd, Suite 106, Hanover, MD 21076-1213 | 2015-05-20 |
| 1417334095 | Rini Soni | Dentist | 7556 Teague Rd, Suite 104, Hanover, MD 21076-1213 | 2015-05-02 |
| 1386047553 | Kelly Ann Tressler | Pharmacist | 7556 Teague Rd, Suite 220, Hanover, MD 21076-1213 | 2014-10-02 |
| 1164832473 | Kalyani Eye Care, LLC | Ophthalmology | 7556 Teague Rd, Suite 410, Hanover, MD 21076-1213 | 2014-05-08 |
| 1346669603 | Karen Denise Cullen | Advanced Practice Midwife | 7556 Teague Rd, Suite 430, Hanover, MD 21076-1213 | 2014-04-15 |
| 1174959704 | Jocelynn N Casselle | Nurse Practitioner | 7556 Teague Rd, Hanover, MD 21076-1213 | 2013-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500766 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7706 Milestone Pkwy, Hanover, MD 21076 | 2018-05-30 |
| 1598287419 | Robert Ehrhardt | Social Worker | 7801 Nauitan Ct, Hanover, MD 21076 | 2017-07-12 |
| 1639699630 | Andrea K Kamara | Registered Nurse | 7566 Teague Road, Hanover, MD 21076 | 2017-06-21 |
| 1093265878 | Maryland Partnership for Prevention Inc | Allergy & Immunology | 7467 New Ridge Road, Suite 130, Hanover, MD 21076 | 2016-10-05 |
| 1720460678 | Michael David Berger | Podiatrist | 7240 Parkway Dr Ste 350, Hanover, MD 21076 | 2015-06-26 |
| 1306254941 | Eyefit Vision Centers | Optometrist | 7550 Teague Road, Suite 114, Hanover, MD 21076 | 2014-07-28 |
| 1972917813 | Jeongwon Shin | Psychiatry & Neurology | 7257 Parkway Dr Ste 250, Hanover, MD 21076 | 2014-06-18 |
| 1487070868 | Tywanna Hamilton | Nurse Practitioner | 7556 Teague Rd Ste 210, Hanover, MD 21076 | 2014-03-10 |
| 1891127866 | Elyce D. Millery | Dentist | 7581 Buckingham Blvd Ste 100, Hanover, MD 21076 | 2013-08-01 |
| 1588990725 | Katoya Lee | Nurse Practitioner | 7698 Dorchester Blvd Ste 204, Hanover, MD 21076 | 2009-10-22 |
| Find all providers in zip 21076 | ||||
| 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 |
|---|---|---|---|---|
| 1649884925 | Alison Lunceford | Pharmacist | 161 Laurence Dr, Hanover, PA 17331-9662 | 2020-09-03 |
| 1124644042 | Neil Partridge | Pharmacist | 11231 Garland Park Ln, Hanover, VA 23069-0016 | 2020-06-17 |
| 1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
| 1598044992 | Paul Thomas Dowell | Pharmacist | 6286 Mound St, Hanover, MD 21076-1005 | 2011-08-16 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| 1790073203 | Thomas Sedlacko | Pharmacist | 31 Wilson Avenue, T-2567, Hanover, PA 17331 | 2011-07-18 |
| 1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
| 1831489467 | Robert Anthony Kolar Jr. | Pharmacist | 43-47 Baltimore St, Hanover, PA 17331-3109 | 2011-04-16 |
| 1952691933 | David Christopher Schaefer | Pharmacist | 301 Eisenhower Dr, Hanover, PA 17331-5219 | 2011-04-12 |
| 1508171273 | Gladys Bauzon Bakken | Pharmacist | 1430 Baltimore St, Hanover, PA 17331-8529 | 2010-08-18 |
| Find all providers in HANOVER | ||||
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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.