MR. MICHAEL SCOTT FORMAN


Address: 7500 Security Blvd, Mail Stop: C1-22-06, Baltimore, MD 21244-1849
Phone: 4107862666

MR. MICHAEL SCOTT FORMAN (NPI# 1154324556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154324556
Entity Type Individual
Full Name MR. MICHAEL SCOTT FORMAN
Credential BS IN PHARMACY
Practice Address 7500 Security Blvd
Mail Stop: C1-22-06
Baltimore
MD 21244-1849
Practice Telephone 4107862666
Practice Fax Number 4107860486
Mailing Telephone 4107862666
Mailing Fax Number 4107860486
Enumeration Date 2005-05-31
Last Update Date 2013-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist RP035829R PA Pharmacy Service Providers
Y 183500000X Pharmacist 19489 MA Pharmacy Service Providers

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NPI Name Taxonomy Address Enumeration
1639260276 Michael Brian Forman Dentist 2000 Diamond Hill Rd, Woonsocket, RI 02895-1554 2006-09-27
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1043672967 Michael Forman Student in an Organized Health Care Education/Training Program 622 W 168th St, Vc-7th Floor, New York, NY 10032-3720 2016-03-22
1073996054 Michael Forman Specialist 538 Broadhollow Rd, Suite 202, Melville, NY 11747-3676 2015-07-08
1356776389 Michael Forman Acupuncturist 1900 Purdy Ave, Apt 1014, Miami Beach, FL 33139-1400 2013-09-10
1962492488 Michael Forman Podiatrist 29001 Cedar Rd, 309, Lyndhurst, OH 44124-4062 2005-10-26
1992790661 Michael H. Forman Emergency Medicine 4002 Vista Way, Oceanside, CA 92056-4506 2005-09-19

Office Location

Street Address 7500 SECURITY BLVD
MAIL STOP: C1-22-06
City BALTIMORE
State MD
Zip Code 21244-1849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437152022 Peggye Ann Wilkerson Registered Nurse 7500 Security Blvd, Mail Stop S2-12-25, Baltimore, MD 21244 2005-05-27
1700330941 Justin Michael Aplin Pharmacist 7500 Security Blvd, Baltimore, MD 21244-1849 2016-08-04
1396030318 Carol Martin Bazell Pediatrics 7500 Security Blvd, Baltimore, MD 21244-1849 2011-06-17
1407031222 Shamiram Ruth Feinglass Internal Medicine 7500 Security Blvd, Ms C1-09-06, Baltimore, MD 21244-1849 2007-12-31
1598978207 James Michael Sorace Pathology 7500 Security Blvd, Baltimore, MD 21244-1850 2007-05-08
1205048063 Christine Machon Pharmacist 7500 Security Blvd, Baltimore, MD 21244-1849 2007-05-04
1952513970 James L Bresette Pharmacist 7500 Security Blvd, Mail Stop Wb 06-05, Baltimore, MD 21244-1849 2007-05-03
1316068851 Diane L Frankenfield Pharmacist 7500 Security Blvd, Mailstop C3-19-07, Baltimore, MD 21244-1849 2007-04-03
1245337815 Maureen M Connors Pharmacist 7500 Security Blvd, Baltimore, MD 21244-1849 2006-09-17
1932117587 Elizabeth Ann Donohoe Internal Medicine 7500 Security Blvd, Ms S3-02-01, Baltimore, MD 21244-1849 2006-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235748468 Sinnai Behavioral Health Services Inc Psychiatric Residential Treatment Facility 3610 Milford Road, Third Floor, Baltimore, MD 21244 2020-07-23
1023655370 Flourish Healthcare Solutions, LLC Home Health Aide 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 2019-12-05
1265078471 Chika Cares Pre-diabetes Workshop LLC Public Health or Welfare St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 2019-11-22
1306318761 Elana Rose Dorfman Social Worker 7205 Rutherford Road, Windsor Mill, MD 21244 2018-12-26
1235618406 Stacy Solte Antonio Physical Therapy Assistant 7141 Security Blvd., Woodlawn, MD 21244 2018-08-08
1831675446 Martha Marie Brown Behavior Technician 7901 Subet Rd, Windsor Mill, MD 21244 2018-07-17
1003306671 Bk Faithful Enterprises Consulting, LLC Dentist 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 2018-05-18
1235640475 Kingsley Awah Home Health Aide 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 2017-10-16
1316465917 Elizabeth Duggan Occupational Therapist 7141 Security Blvd, Md 21244, Baltimore, MD 21244 2017-09-03
1326565052 Latoya Womack Registered Nurse 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 2017-08-24
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588265623 Michael Tyler Lundy Pharmacist 7920 Belair Rd, Baltimore, MD 21236-3706 2020-11-05
1780291112 Simon K Muraguri Pharmacist 1403 E Cold Spring Ln Ste B, Baltimore, MD 21239-3913 2020-09-29
1124633425 Kalev G Latova Pharmacist 6506 Gardenwick Rd, Baltimore, MD 21209-2538 2020-09-14
1083258024 Alan Shen Lin Pharmacist 250 President St Unit 1001, Baltimore, MD 21202-4440 2019-11-02
1427699560 Chelsea Niemah Ray Pharmacist 4140 E Joppa Rd, Baltimore, MD 21236-2223 2019-09-30
1881240802 Waleed Mazhar Khan Pharmacist 29-31 Sipping Pl, Baltimore, MD 21222 2019-08-15
1780240325 George Desales Garmer Pharmacist 2772 Lighthouse Pt E Unit 415, Baltimore, MD 21224-5048 2019-05-18
1679034292 Uyen Phuong Nguyen Pharmacist 1340 Smith Ave Ste A, Baltimore, MD 21209-3736 2019-03-27
1962979500 Jia K Allen Pharmacist 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 2018-11-01
1194291211 Brittney Brooks-grey Pharmacist 3507 Brendan Ave, Baltimore, MD 21213-1905 2018-10-16
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Competitor

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City BALTIMORE
Zip Code 21244

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Dataset Information

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.

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