DR. RALPH LYNWOOD SHUMAKE JR. (NPI# 1619235181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619235181 |
| Entity Type | Individual |
| Full Name | DR. RALPH LYNWOOD SHUMAKE JR. |
| Credential | P.D. |
| Practice Address |
9145 Guilford Rd Suite #160 Columbia MD 21046-1883 |
| Mailing Address |
9145 Guilford Rd #160 Columbia MD 21046-1883 |
| Practice Telephone | 3014902353 |
| Practice Fax Number | 3014902376 |
| Mailing Telephone | 3014902353 |
| Mailing Fax Number | 3014902376 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202004627 | VA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 09764 | MD | Pharmacy Service Providers |
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
09764 | MD | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
09764 | MD | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
09764 | MD | Pharmacy Service Providers |
| Street Address |
9145 GUILFORD RD SUITE #160 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851326383 | Richard Glen Silver | Psychiatry & Neurology | 9145 Guilford Rd, Suite 100, Columbia, MD 21046-1883 | 2006-07-12 |
| 1801004007 | Maggie Burdette Covington | Family Medicine | 9145 Guilford Rd, Suite 100, Columbia, MD 21046-1883 | 2007-05-19 |
| 1285754051 | Lisa Ann Brodjieski | Speech-Language Pathologist | 9145 Guilford Rd, Suite 100, Columbia, MD 21046-1883 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225304124 | Marybeth Missenda | Pharmacist | 16833 Holly Way, Accokeek, MD 20607-9714 | 2012-03-26 |
| 1356619662 | Michael Moses | Pharmacist | 3210 Marnat Rd, Pikesville, MD 21208 | 2011-12-01 |
| 1821126228 | Don Kock Yee | Pharmacist | 1500 Forest Glenn Road, Silver Spring, MD 20910 | 2007-02-28 |
| 1225229206 | Corrinne Kulick | Pharmacist | 10903 New Hampshire, Wo Bldg 22 Room 3465, Silver Spring, MD 20993-0002 | 2007-08-06 |
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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.