Healthcare Provider Details

I. General information

NPI: 1922921501
Provider Name (Legal Business Name): CHERRY MARGARET GOMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12408 GALWAY DR
SILVER SPRING MD
20904-1723
US

IV. Provider business mailing address

3715 UNIVERSITY BLVD W
KENSINGTON MD
20895-2123
US

V. Phone/Fax

Practice location:
  • Phone: 240-713-2429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPI03197
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: