DR. PETE KONIDAS (NPI# 1023159803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023159803 |
| Entity Type | Individual |
| Full Name | DR. PETE KONIDAS |
| Credential | PHARM. D. |
| Practice Address |
1200 7th Ave N Saint Petersburg FL 33705-1300 |
| Mailing Address |
1126 119th Terr N Saint Petersburg FL 33716 |
| Practice Telephone | 7278251116 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS40187 | FL | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
PU5938 | FL | Pharmacy Service Providers |
| Street Address |
1200 7TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33705-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014874 | Bethany G Corke | Registered Nurse | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2019-10-09 |
| 1316597206 | Catherine Ariana Pallas | Registered Nurse | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2019-09-12 |
| 1720559800 | Brittani Diviney | Nurse Anesthetist, Certified Registered | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2018-12-16 |
| 1922577717 | Kelly Moran | Respiratory Therapist, Registered | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2018-11-21 |
| 1275001943 | Gabriela Ycaza Sutherland | Registered Nurse | 1200 7th Ave N, Saint Petersburg, FL 33705-1388 | 2018-11-11 |
| 1477062073 | Meghan Mattson | Nurse Anesthetist, Certified Registered | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2017-09-26 |
| 1710401443 | Kathleen Ryanne Howe | Nurse Practitioner | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2017-08-03 |
| 1558724955 | Daniel Ryczek | Emergency Medicine | 1200 7th Ave N, Saint Petersburg, FL 33705 | 2016-04-01 |
| 1811353667 | Matthew Lee Timmons | Pharmacist | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2016-01-09 |
| 1215301684 | Jelena Savic | Nurse Anesthetist, Certified Registered | 1200 7th Ave N, Saint Petersburg, FL 33705 | 2015-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| 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 |
|---|---|---|---|---|
| 1255814323 | John Paul Rodgers | Pharmacist | 1839 Central Ave Unit 101, Saint Petersburg, FL 33713-8900 | 2018-09-13 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1801289137 | Kori M. Lawie | Pharmacist | 33 16th St S, Saint Petersburg, FL 33705-1600 | 2015-03-11 |
| 1124429949 | Luong Tran | Pharmacist | 875 Dr Martin Luther King Jr St N, 875 9th St N, Saint Petersburg, FL 33701-2103 | 2014-09-11 |
| 1851707335 | Destanee Alexis Cunningham | Pharmacist | 4725 25th Ave S, Saint Petersburg, FL 33711-3321 | 2014-07-07 |
| 1780013169 | Bhupinderjit Birk | Pharmacist | 1064 Marco Dr Ne, Saint Petersburg, FL 33702-2781 | 2013-11-05 |
| 1811329808 | Aleksandra H Yonicova | Pharmacist | 3700 34th Street N, Saint Petersburg, FL 33713 | 2013-08-01 |
| 1447598941 | Christina Borghi | Pharmacist | 5295 34th St S, Saint Petersburg, FL 33711-4517 | 2013-01-18 |
| 1972859460 | Caroline Ann Symes | Pharmacist | 536 13th Ave Ne, Saint Petersburg, FL 33701-1309 | 2012-08-02 |
| 1871868711 | Dennis Michael Dansby II | Pharmacist | 222 12th Ave N, Saint Petersburg, FL 33701-1738 | 2012-03-11 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33705 |
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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.