MS. TARA BASTAWROUS (NPI# 1457734766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457734766 |
| Entity Type | Individual |
| Full Name | MS. TARA BASTAWROUS |
| Credential | PHARMD |
| Practice Address |
2101 E Jefferson St Rockville MD 20852-4908 |
| Mailing Address |
5509 Hamlet Hill Ct Fairfax VA 22030-7282 |
| Practice Telephone | 5712167396 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23743 | MD | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0202214078 | VA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND BOARD OF PHARMACY | 23743 | 01 |
| VA | VA BOARD OF PHARMACY | 0202214078 | 01 |
| Street Address |
2101 E JEFFERSON ST |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851391775 | Clifton Alexander Leftridge Jr. | Radiology | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2005-07-22 |
| 1295212686 | Dharti V. Patel | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2018-07-27 |
| 1003393752 | Monet Stanford | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2018-07-25 |
| 1912417189 | Oluwadamilola Omopariola | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2017-10-02 |
| 1528584224 | Eileen Langstraat | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2017-08-15 |
| 1477076446 | Natalie Lynne Kokta | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2017-07-21 |
| 1407378581 | Kaysee Gruss | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2017-07-11 |
| 1659724748 | Jasmine M. Ebron | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2016-07-13 |
| 1528436169 | Diane Saade | Nutritionist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2015-09-14 |
| 1255716155 | Jane Jinju Kim | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| 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 |
|---|---|---|---|---|
| 1417575069 | Ayoub Suliman | Pharmacist | 4426 Renn St, Rockville, MD 20853-2745 | 2020-07-10 |
| 1841819331 | Babak Sabouri | Pharmacist | 10729 Mist Haven Ter, Rockville, MD 20852-3438 | 2020-04-14 |
| 1013573732 | Ava Azari | Pharmacist | 406 Summer Garden Way, Rockville, MD 20850-2889 | 2019-05-17 |
| 1649750712 | Tenkang Ernest Tiendi | Pharmacist | 20 Upper Rock Cir, Rockville, MD 20850-4098 | 2018-08-17 |
| 1922594779 | Alice Jiang | Pharmacist | 5401 Mcgrath Blvd Apt 307, Rockville, MD 20852-8656 | 2018-07-05 |
| 1386197259 | Rahel Yohanis | Pharmacist | 12503 Village Square Ter Apt 402, Rockville, MD 20852-1956 | 2016-07-27 |
| 1568824613 | Ziad Haddad | Pharmacist | 414 Rutgers St, Rockville, MD 20850-1113 | 2016-03-27 |
| 1578952263 | Andrew Kwanhee Kim | Pharmacist | 11520 Rockville Pike, Rockville, MD 20852-2750 | 2015-01-18 |
| 1891199402 | Cvs/health | Pharmacist | 550 Azalea Dr, Rockville, MD 20850-2001 | 2014-10-11 |
| 1144621020 | Michael Mehrabiansani | Pharmacist | 206 Congressional Ln Apt 103, Rockville, MD 20852-1509 | 2014-09-10 |
| Find all providers in ROCKVILLE | ||||
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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.