ANJELO MIDA INC (NPI# 1902967078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902967078 |
| Entity Type | Organization |
| Organization Name | ANJELO MIDA INC |
| Other Organization Name | ANJELO MIDA INC |
| Practice Address |
1502 Joh Ave Ste 100 Baltimore MD 21227-1137 |
| Practice Telephone | 4107373151 |
| Practice Fax Number | 4107378450 |
| Mailing Telephone | 4107373151 |
| Mailing Fax Number | 4107378450 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-05-20 |
| Authorized Official Name | LOREEN WUTOH (PHARMACY MANAGER) |
| Authorized Official Telephone | 4107373151 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PW0203 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2125234 | 01 | |
| MD | 000072800 | 05 |
| Other Name | Type Code |
|---|---|
| ANJELO MIDA INC | Doing Business As Name - Organization |
| Street Address |
1502 JOH AVE STE 100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21227-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578098802 | Cheryl Harper-spencer | Social Worker | 1502 Joh Ave, Suite 180, Baltimore, MD 21227-1137 | 2017-04-24 |
| 1346772712 | Bright Horizons Behavioral Health, LLC | Psychologist | 1502 Joh Ave, Suite 180, Baltimore, MD 21227-1137 | 2017-04-03 |
| 1801328273 | Bright Horizons Behavioral Health, LLC | Counselor | 1502 Joh Ave, Suite 180, Baltimore, MD 21227-1137 | 2017-04-03 |
| 1124567284 | Bright Horizon's Behavioral Health | Community/Behavioral Health | 1502 Joh Ave, Suite180, Baltimore, MD 21227-1137 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1366597825 | Northern Pharmacy and Medical Equipment, LLC | Pharmacy | 7816 Harford Rd, Baltimore, MD 21234 | 2007-01-24 |
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| 1548728884 | Nomal One, LLC | Pharmacy | 2245 Eastern Ave, Baltimore, MD 21231-3113 | 2019-03-06 |
| 1730559709 | Northern Pharmacy | Pharmacy | 7816 Harford Rd, Baltimore, MD 21234-5850 | 2015-10-02 |
| 1740348457 | Neighborcare Pharmacy Services, Inc. | Pharmacy | 7 E Lee St, Baltimore, MD 21202-6000 | 2006-12-05 |
| 1255408662 | Neighborcare Pharmacy of Va, LLC | Pharmacy | 7 E Lee St, Baltimore, MD 21202-6000 | 2006-11-29 |
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| 1689209496 | Polaris Pharmacy Services of Maryland, LLC | Pharmacy | 9113 Liberty Rd, Randallstown, MD 21133-3530 | 2020-03-12 |
| 1740791177 | Foers Long Term Care Pharmacy | Pharmacy | 1300 Piccard Dr Ste Ll-16, Rockville, MD 20850-4303 | 2017-10-12 |
| 1114386174 | Smithsburg Pharmacy LLC | Pharmacy | 22030 Jefferson Blvd, Smithsburg, MD 21783-2057 | 2016-02-19 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1043571367 | Nayosha LLC | Pharmacy | 8900 Columbia 100 Pkwy Ste H, Columbia, MD 21045-2336 | 2012-06-04 |
| 1972886927 | Priority Healthcare | Pharmacy | 751 Elkton Blvd, Elkton, MD 21921-5425 | 2011-09-26 |
| 1851523765 | Professional Care Pharmacy Inc | Pharmacy | 806 Reisterstown Rd, Unit 3, Pikesville, MD 21208-4215 | 2009-08-12 |
| 1093941478 | Global Health Pharmacy, Inc | Pharmacy | 7500 Montpelier Rd Ste 106, Laurel, MD 20723-6012 | 2009-05-30 |
| 1649470220 | Partners Pharmacy of Maryland LLC | Pharmacy | 8910 Route 108, Suite C, Columbia, MD 21045-2151 | 2007-07-20 |
| 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.