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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639260276 | Michael Brian Forman | Dentist | 2000 Diamond Hill Rd, Woonsocket, RI 02895-1554 | 2006-09-27 |
1194726133 | Michael A Forman | Psychologist | 3545 Olentangy Rvr Rd, Suite 214, Columbus, OH 43214-3907 | 2005-08-01 |
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 |
Street Address |
7500 SECURITY BLVD MAIL STOP: C1-22-06 |
City | BALTIMORE |
State | MD |
Zip Code | 21244-1849 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 21244 |
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 |
---|---|---|---|---|
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 |
Find all providers in BALTIMORE |
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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.