MATTHEW BLACK (NPI# 1275923955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275923955 |
| Entity Type | Individual |
| Full Name | MATTHEW BLACK |
| Credential | CPHT |
| Practice Address |
45155 First Colony Way Attn Pharmacy California MD 20619-2416 |
| Practice Telephone | 3018625342 |
| Mailing Telephone | 3018625342 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 0230022207 | VA | Pharmacy Service Providers |
| Y | 183700000X | Pharmacy Technician | T08958 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718745 | Matthew David Black | Hearing Instrument Specialist | 3656 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2020-01-06 |
| 1366922247 | Matthew L Black | Dietitian, Registered | 410 W 10th Ave, W180 Doan Hall, Columbus, OH 43210 | 2018-08-20 |
| 1124512447 | Matthew Black | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2018-06-20 |
| 1821509415 | Matthew David Black | Counselor | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2017-10-23 |
| 1518313824 | Matthew Black | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2016-05-05 |
| 1891173282 | Matthew Kimball Black | Dentist | 512 N Young St, Kennewick, WA 99336-7839 | 2015-05-18 |
| 1891010567 | Matthew Crittenden Black | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St., C800, Pittsburgh, PA 15213 | 2010-04-06 |
| 1437339900 | Matthew Roger Black | Emergency Medicine | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-11-13 |
| 1679769947 | Matthew John Black | Physical Therapist | 4004 S Yale Ave, Tulsa, OK 74135-6017 | 2007-09-20 |
| 1346395175 | Matthew A. Black | Counselor | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2007-01-24 |
| Street Address |
45155 FIRST COLONY WAY ATTN PHARMACY |
| City | CALIFORNIA |
| State | MD |
| Zip Code | 20619-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009612 | Michelle Merryman Weisburgh | Pharmacist | 45155 First Colony Way, California, MD 20619-2416 | 2005-08-03 |
| 1346759560 | Truong V Le | Pharmacist | 45155 First Colony Way, California, MD 20619 | 2017-09-20 |
| 1457713349 | Dr. Kasmani & Associates, LLC | Optometrist | 45155 First Colony Way, California, MD 20619 | 2016-03-22 |
| 1326424011 | Dr.david Heavner & Associates | Optometrist | 45155 First Colony Way, California, MD 20619-2416 | 2015-08-04 |
| 1669890224 | Mari-ann Sweeney | Pharmacist | 45155 First Colony Way, California, MD 20619-2416 | 2014-04-01 |
| 1487900213 | Christie Amelia Staso | Pharmacist | 45155 First Colony Way, California, MD 20619-2416 | 2012-07-30 |
| 1447544283 | Melissa B Christensen | Pharmacist | 45155 First Colony Way, T-1258, California, MD 20619-2416 | 2011-06-08 |
| 1164716270 | Traci Helene Cooksey | Pharmacist | 45155 First Colony Way, T-1258, California, MD 20619-2416 | 2011-06-06 |
| 1427348937 | Thu T Tran | Pharmacist | 45155 First Colony Way, California, MD 20619-2416 | 2011-04-18 |
| 1588715650 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 45155 First Colony Way, California, MD 20619-2416 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932412 | Ebony Thomas | Technician | 23560 Fdr Blvd, #402, California, MD 20619 | 2019-10-04 |
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1972099489 | Leslie Ann Gilbert | Audiologist | 23077 Three Notch Rd Ste 101, California, MD 20619 | 2018-07-09 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1831437128 | Dylan Schneider | Dentist | 23415 Three Notch Road, Suite 2003, California, MD 20619 | 2013-01-22 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1376742270 | Platinum Eyes | Eyewear Supplier (Equipment, not the service) | 45315 Alton Ln, Suite 16038, California, MD 20619 | 2007-07-12 |
| Find all providers in zip 20619 | ||||
| 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 |
|---|---|---|---|---|
| 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 | CALIFORNIA |
| Zip Code | 20619 |
Please comment or provide details below to improve the information on MATTHEW BLACK.
| 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.