DR. SUSAN TITA-BAKARE (NPI# 1013281328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013281328 |
| Entity Type | Individual |
| Full Name | DR. SUSAN TITA-BAKARE |
| Practice Address |
701 West Dr M,l.k. Jr Blvd Suite 1 Tampa FL 33603 |
| Mailing Address |
701 West Dr M.l.k. Jr Blvd Suite1 Tampa FL 33603 |
| Practice Telephone | 8133350267 |
| Practice Fax Number | 8138490992 |
| Mailing Telephone | 8133350267 |
| Mailing Fax Number | 8138490992 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS30107 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENCE NUMBER | PS30107 | 01 |
| Street Address |
701 WEST DR M,L.K. JR BLVD SUITE 1 |
| City | TAMPA |
| State | FL |
| Zip Code | 33603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| 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 |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1639779226 | Robert Carl Borchard Jr. | Pharmacist | 4706 Cresson Ct, Tampa, FL 33624-4350 | 2020-11-01 |
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1730787250 | Constantina Kolitsopoulos | Pharmacist | 2611 Bayshore Blvd Apt 1005, Tampa, FL 33629-7364 | 2020-10-16 |
| 1013522853 | Ellamy Lynne Rhoads | Pharmacist | 4308 N Coolidge Ave, Tampa, FL 33614-7757 | 2020-09-09 |
| 1356953152 | Howard Lawrence Mcleod | Pharmacist | 17003 Madres De Avila, Tampa, FL 33613-5234 | 2020-08-21 |
| 1912516311 | Olivia Simmons | Pharmacist | 15521 Carrillon Estates Blvd, Tampa, FL 33625-3303 | 2020-07-31 |
| 1235756503 | Omolade M Badero | Pharmacist | 3718 Jefferson Commons Dr Apt 301, Tampa, FL 33613-6481 | 2020-07-02 |
| 1518584317 | Puja Shah | Pharmacist | 10814 Cory Lake Dr, Tampa, FL 33647-2783 | 2020-06-29 |
| 1780208520 | Phillip Nguyen | Pharmacist | 12615 Stanwyck Cir, Tampa, FL 33626-4462 | 2020-06-07 |
| Find all providers in TAMPA | ||||
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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.