MARTHA M GEORGES (NPI# 1104442425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104442425 |
| Entity Type | Individual |
| Full Name | MARTHA M GEORGES |
| Practice Address |
4920 Campbell Blvd Nottingham MD 21236-5916 |
| Practice Telephone | 4109337626 |
| Practice Fax Number | 4109337669 |
| Mailing Telephone | 4109337626 |
| Mailing Fax Number | 4109337669 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16471 | MD | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PHARMACIST | 000001 | 01 |
| Street Address |
4920 CAMPBELL BLVD |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811087174 | Lynn Mahan | Social Worker | 4920 Campbell Blvd, Nottingham, MD 21236-5916 | 2006-10-14 |
| 1891349502 | Bruce Dennis Conklin Jr. | Pharmacist | 4920 Campbell Blvd, Nottingham, MD 21236-5916 | 2019-07-31 |
| 1083125926 | Songe Baek | Pharmacist | 4920 Campbell Blvd, Nottingham, MD 21236-5916 | 2017-10-18 |
| 1528301272 | Neil Smith | Pharmacist | 4920 Campbell Blvd, Nottingham, MD 21236-5916 | 2013-04-01 |
| 1629211404 | Carrie Carlevaro | Social Worker | 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236-5916 | 2009-04-09 |
| 1467692632 | Claire W Bolander | Obstetrics & Gynecology | 4920 Campbell Blvd, Kaiser Permanente Whitemarsh Medical Center, Nottingham, MD 21236-5916 | 2009-03-02 |
| 1902055973 | Natalie Simone Yzer - Newton | Psychiatry & Neurology | 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236-5916 | 2008-09-15 |
| 1861650392 | Melissa Sinkiewicz | Physical Medicine & Rehabilitation | 4920 Campbell Blvd, Nottingham, MD 21236 | 2008-05-31 |
| 1700058104 | Amit Kumar | Social Worker | 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236-5916 | 2008-03-26 |
| 1487839155 | Catherine Laura Frazer | Pharmacist | 4920 Campbell Blvd, Nottingham, MD 21236-5916 | 2007-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1407353030 | Mailaka Udoro | Pharmacist | 7818 Shadow Knoll Ct, Nottingham, MD 21236-3410 | 2018-04-10 |
| 1962923136 | Sharon Page | Pharmacist | 4924 Campbell Blvd Ste 120, Nottingham, MD 21236-5909 | 2017-06-28 |
| 1538523139 | Samuel Charles Macnichol | Pharmacist | 24 Whips Ln, Nottingham, MD 21236-4856 | 2016-04-09 |
| 1841572617 | Don Krueger | Pharmacist | 391 Fremont Rd, Nottingham, PA 19362-9120 | 2011-09-16 |
| 1063633097 | Kristy L Liddic | Pharmacist | 8669 Belair Rd, Nottingham, MD 21236-2703 | 2007-05-01 |
| 1871712794 | Ann Marie Greene | Pharmacist | 220 New Furnace Rd, Nottingham, PA 19362-9614 | 2007-04-25 |
| 1750413324 | Uchenna P Ekwunazu | Pharmacist | 8 Dunhaven Pl Apt 1d, Nottingham, MD 21236-7546 | 2007-03-09 |
| 1679174502 | Sunny J Lee | Pharmacist | 8118 Perry Hills Ct, Nottingham, MD 21236-3514 | 2020-11-06 |
| 1336797398 | Sarah Ro | Pharmacist | 5230 Campbell Blvd, Nottingham, MD 21236-4983 | 2019-09-03 |
| 1891349502 | Bruce Dennis Conklin Jr. | Pharmacist | 4920 Campbell Blvd, Nottingham, MD 21236-5916 | 2019-07-31 |
| Find all providers in NOTTINGHAM | ||||
| City | NOTTINGHAM |
| Zip Code | 21236 |
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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.