JONATHAN WAN (NPI# 1114317914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114317914 |
| Entity Type | Individual |
| Full Name | JONATHAN WAN |
| Practice Address |
4390 Montgomery Rd Ellicott City MD 21043-6068 |
| Practice Telephone | 4102031171 |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | T09678 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944585 | Jonathan Wan | Student in an Organized Health Care Education/Training Program | 51 Pennsylvania St, Orlando, FL 32806-2937 | 2020-05-20 |
| 1639329188 | Jonathan Alan Wan | Chiropractor | 662 Strander Blvd, Tukwila, WA 98188-2923 | 2008-09-22 |
| Street Address |
4390 MONTGOMERY RD |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101486 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2006-07-24 |
| 1114448024 | Charles U Nwachukwu | Pharmacist | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2017-06-30 |
| 1336669654 | James Craig Doty | Pharmacist | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2017-06-27 |
| 1811426893 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2017-06-05 |
| 1154726990 | Sudin Thomas | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2014-10-22 |
| 1659710168 | Darcy K. Mccarty | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2013-06-18 |
| 1700224920 | Aarthi Sathya | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2013-06-10 |
| 1497042089 | Shirin Siahpoushan | Pharmacist | 4390 Montgomery Rd, T-1042, Ellicott City, MD 21043-6068 | 2011-07-01 |
| 1669768883 | Lynne Roman | Pharmacist | 4390 Montgomery Rd, T-1042, Ellicott City, MD 21043-6068 | 2011-06-27 |
| 1881989283 | Megan Renee Copeland | Pharmacist | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245665439 | James M Cobb | Pharmacy Technician | 4715 Dorsey Hall Dr, Ellicott City, MD 21042-5975 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778061 | Kellie Young | Pharmacy Technician | 9004 Townsend Ln, Clinton, MD 20735-2870 | 2020-10-16 |
| 1881211241 | Jennifer Anne Suminski | Pharmacy Technician | 18759 Diller Dr, Hagerstown, MD 21742-2434 | 2020-07-01 |
| 1255962882 | Marjan Hosseinnia | Pharmacy Technician | 25 Dunvale Rd Apt 225, Towson, MD 21204-2527 | 2020-02-02 |
| 1952874406 | Shauntae Turner | Pharmacy Technician | 315 Dark Star Way, Glen Burnie, MD 21060-7442 | 2019-01-08 |
| 1194205153 | Khadijah Keita | Pharmacy Technician | 1512 Woodwell Rd, Silver Spring, MD 20906 | 2018-08-20 |
| 1922504083 | Hoangnam Kim Tran | Pharmacy Technician | 6525 Belcrest Rd Ste 207, Hyattsville, MD 20782-2062 | 2018-04-05 |
| 1992200588 | Brian Ennis | Pharmacy Technician | 2811 Gresham Way Unit 102, Baltimore, MD 21244-3921 | 2018-03-27 |
| 1023566965 | Amanda Arbour | Pharmacy Technician | 111 Sturgill Dr, Bel Air, MD 21015-6111 | 2016-09-21 |
| 1689026361 | Myshaurna Harrison | Pharmacy Technician | 48 Solar Cir Apt L, Parkville, MD 21234-6832 | 2016-07-06 |
| 1881050722 | Jessica Mccorkle | Pharmacy Technician | 3600 Boston St, Baltimore, MD 21224-5729 | 2016-01-07 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
Please comment or provide details below to improve the information on JONATHAN WAN.
| 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.