DR. SANKUNG SISE (NPI# 1295169464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295169464 |
| Entity Type | Individual |
| Full Name | DR. SANKUNG SISE |
| Credential | PHARMD, BCPS |
| Practice Address |
8210 Red Gate Ct Bowie MD 20715-3368 |
| Practice Telephone | 2403503354 |
| Mailing Telephone | 2403503354 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH1000000018 | DC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15695 | MD | Pharmacy Service Providers |
| Street Address |
8210 RED GATE CT |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594837 | Adebayo Ajifolokun | Pharmacist | 2307 Clerklee Way, Bowie, MD 20721-1866 | 2018-07-03 |
| 1982968921 | Adaeze Ifeoma Ezebuiro | Pharmacist | 2508 Huntley Ct, Bowie, MD 20721-2983 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697436 | Maxcare Pharmacy | Pharmacist | 7448 Baltimore Annapolis Blvd Ste A, Glen Burnie, MD 21061-3468 | 2020-07-28 |
| 1255966735 | David Lee Lowery | Pharmacist | 1102 Midvale Ave, Mount Airy, MD 21771-5522 | 2020-03-05 |
| 1639703523 | Mary Katherine Emadi | Pharmacist | 1320 Londontown Blvd, Eldersburg, MD 21784-6409 | 2020-02-28 |
| 1245878875 | Crowns Pharmacy LLC | Pharmacist | 9705 Fort Meade Rd, Laurel, MD 20707-4405 | 2019-12-13 |
| 1932750536 | Oluwadamilola Ademiluyi | Pharmacist | 202 Bottsford Ave, Upper Marlboro, MD 20774-8416 | 2019-09-25 |
| 1093361008 | Mark Adjetey | Pharmacist | 18924 Marsh Hawk Ln, Gaithersburg, MD 20879-1774 | 2019-08-15 |
| 1841760048 | Roudabeh Faghri | Pharmacist | 1201 Dutchmans Creek Dr, Brunswick, MD 21716-9770 | 2018-11-29 |
| 1003384678 | Prime Clinical Associates, LLC | Pharmacist | 9019 Sunni Shade Ct, Perry Hall, MD 21128-9222 | 2018-11-12 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1396272928 | Min S Kwon | Pharmacist | 14347 Musgrove Farm Ct, Glenwood, MD 21738-9535 | 2017-05-13 |
| Find all providers with the same taxonomy | ||||
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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.