GENOVA WASHINGTON (NPI# 1114557444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114557444 |
| Entity Type | Individual |
| Full Name | GENOVA WASHINGTON |
| Practice Address |
2970 Shasho Pl Waldorf MD 20603-4840 |
| Mailing Address |
1772 Addison Rd S District Heights MD 20747-1569 |
| Practice Telephone | 3016453095 |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2020-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH100003560 | DC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0202213269 | VA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 27062 | MD | Pharmacy Service Providers |
| Street Address |
2970 SHASHO PL |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255537247 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2970 Shasho Pl, Waldorf, MD 20603-4840 | 2007-06-26 |
| 1588203764 | Latosha Carpenter | Pharmacist | 2970 Shasho Pl, Waldorf, MD 20603-4840 | 2020-01-05 |
| 1013432541 | Kevin Mrohs | Pharmacist | 2970 Shasho Pl, Waldorf, MD 20603-4840 | 2017-08-05 |
| 1891079109 | Emily Marie Eckert | Pharmacist | 2970 Shasho Pl, Waldorf, MD 20603-4840 | 2011-10-05 |
| 1710269816 | Melanie Benjamin | Pharmacist | 2970 Shasho Pl, Waldorf, MD 20603-4840 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| 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 |
|---|---|---|---|---|
| 1184224842 | Camille B Ware | Pharmacist | 3297 Plaza Way, Waldorf, MD 20603-4861 | 2020-10-30 |
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1891235776 | Peterpaul Ijezie | Pharmacist | 8950 Cottongrass St, Waldorf, MD 20603-4952 | 2017-02-27 |
| 1467995308 | Tawfik Beshir | Pharmacist | 9378 Pep Rally Ln, Waldorf, MD 20603-3845 | 2016-11-27 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| 1972916245 | Ayman Mohamed | Pharmacist | 787 Mccoy Dr, Waldorf, MD 20602-2891 | 2014-06-04 |
| 1588097323 | Otis Cleveland Jr. | Pharmacist | 10 King Street, Waldorf, MD 20602 | 2013-08-15 |
| 1649538430 | Geoffrey Delane Buff | Pharmacist | 12114 Old Line Ctr, Waldorf, MD 20602-2553 | 2012-04-30 |
| Find all providers in WALDORF | ||||
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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.