JOHN WAYNE PHARMACY LLC (NPI# 1417354085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417354085 |
| Entity Type | Organization |
| Organization Name | JOHN WAYNE PHARMACY LLC |
| Other Organization Name | PROFESSIONAL PHARMACY |
| Practice Address |
9106 Philadelphia Road Suite #100 Baltimore MD 21237 |
| Practice Telephone | 4106878113 |
| Practice Fax Number | 4103913922 |
| Mailing Telephone | 4106878113 |
| Mailing Fax Number | 4103913922 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | MR. WAYNE D. VANWIE (PHARMACIST/OWNER) |
| Authorized Official Telephone | 4106878113 |
| Authorized Official Credential | P.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHN WAYNE PHARMACY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | MD11499 | MD | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 700301300 | 05 |
| Other Name | Type Code |
|---|---|
| Professional Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023178589 | John Wayne Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9106 Philadelphia Rd, Baltimore, MD 21237-4329 | 2006-12-12 |
| 1457394108 | John Wayne Pharmacy LLC | Pharmacy | 9106 Philadelphia Rd, Ste 100, Baltimore, MD 21237-4329 | 2006-06-13 |
| Street Address |
9106 PHILADELPHIA ROAD SUITE #100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578593273 | Dennis H. Odie | Internal Medicine | 9106 Philadelphia Road, Suite 200, Baltimore, MD 21237-4329 | 2006-07-05 |
| 1609187111 | Ashley A. Simpson | Physician Assistant | 9106 Philadelphia Road, Suite 304, Baltimore, MD 21237-4343 | 2010-06-30 |
| 1225213689 | Gabriel A Martinez Md Pa | Physical Medicine & Rehabilitation | 9106 Philadelphia Road, Suite 306, Baltimore, MD 21237 | 2008-01-04 |
| 1457481194 | Gabriel A Martinez Geigel | Physical Medicine & Rehabilitation | 9106 Philadelphia Road, Suite 306, Baltimore, MD 21237 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on JOHN WAYNE PHARMACY LLC.
| 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.