WHITEMARSH PHARMACY (NPI# 1932385515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932385515 |
| Entity Type | Organization |
| Organization Name | WHITEMARSH PHARMACY |
| Practice Address |
4924 Campbell Blvd Suite 120 Nottingham MD 21236-5908 |
| Practice Telephone | 4433842500 |
| Practice Fax Number | 4433842525 |
| Mailing Telephone | 4433842500 |
| Mailing Fax Number | 4433842525 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | DR. MICHAEL N SOURANIS (PRESIDENT) |
| Authorized Official Telephone | 4106335050 |
| Authorized Official Credential | P.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PO4046 | MD | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PO4046 | MD | Suppliers |
| Street Address |
4924 CAMPBELL BLVD SUITE 120 |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404332 | Anthony Trinh | Physical Therapist | 4924 Campbell Blvd, Nottingham, MD 21236-5908 | 2018-07-20 |
| 1255875134 | Maureen Luthardt | Nurse Practitioner | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2016-12-12 |
| 1003363854 | Kathryn Kloss | Nurse Practitioner | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2016-09-08 |
| 1356797773 | Jennifer Zanni | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2016-05-05 |
| 1851772024 | Elizabeth Ault | Physical Therapy Assistant | 4924 Campbell Blvd, Ste. 130a, Nottingham, MD 21236-5908 | 2015-06-14 |
| 1437559580 | Physiotherapy Corporation | Clinic/Center | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2014-08-26 |
| 1407261720 | Jessica Minacapelli Miele | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2014-06-25 |
| 1336408160 | Ethel Mojoko | Internal Medicine | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2012-05-14 |
| 1477849149 | Kristen Shaw Deitchman | Pediatrics | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2011-06-21 |
| 1003123027 | Danielle R. North | Physician Assistant | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368597 | Johns Hopkins University | Durable Medical Equipment & Medical Supplies | 4924 Campbell Blvd Ste 130, Nottingham, MD 21236-5912 | 2019-10-18 |
| 1568946200 | Comfort Care Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 7939 Honeygo Blvd Ste 118, Nottingham, MD 21236-5991 | 2018-09-19 |
| 1174870356 | Giant of Maryland, LLC | Durable Medical Equipment & Medical Supplies | 8905 Belair Rd, Nottingham, MD 21236-2406 | 2012-08-07 |
| 1760756431 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8650 Belair Rd, Nottingham, MD 21236-2705 | 2012-02-28 |
| 1467779769 | Pennsylvania Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 201 Fieldcrest Dr., Nottingham, PA 19362-9797 | 2010-04-26 |
| 1578790630 | Maryland Home and Health Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 3427 Santee Ct, Nottingham, MD 21236-3117 | 2009-06-16 |
| 1548387814 | Air Support Therapies Inc | Durable Medical Equipment & Medical Supplies | 9512 Belair Rd, Nottingham, MD 21236-1506 | 2007-03-23 |
| 1740383405 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4140 Joppa Rd, Nottingham, MD 21236 | 2006-09-07 |
| 1932126216 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8118 Perry Hills Ct, Nottingham, MD 21236-3514 | 2006-07-16 |
| 1669726139 | James Adleberg Dpm, P.a. | Durable Medical Equipment & Medical Supplies | 8100 Sandpiper Cir Ste 104, Nottingham, MD 21236-5028 | 2012-11-05 |
| Find all providers in NOTTINGHAM | ||||
| City | NOTTINGHAM |
| Zip Code | 21236 |
Please comment or provide details below to improve the information on WHITEMARSH PHARMACY.
| 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.