MR. JAMES MICHAEL DALE (NPI# 1023355609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023355609 |
Entity Type | Individual |
Full Name | MR. JAMES MICHAEL DALE |
Credential | RPH |
Practice Address |
3200 Lake Washington Rd Melbourne FL 32934-7620 |
Practice Telephone | 3212420592 |
Mailing Telephone | 3212420592 |
Enumeration Date | 2013-01-15 |
Last Update Date | 2013-01-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 19093 | FL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972898302 | James Byron Dale IIi | Pharmacist | 297 Grant Ave, Auburn, NY 13021-1407 | 2011-06-14 |
1194052696 | James J Dale | Reflexologist | 1496 N Higley Rd, Gilbert, AZ 85234-1601 | 2009-11-04 |
1861415473 | James Alexander Dale | Psychologist | 16269 Conneaut Lake Rd, Suite 101, Meadville, PA 16335-3887 | 2006-07-25 |
1548227689 | James B Dale | Internal Medicine | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
1801867460 | James Dale | Counselor | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2006-01-31 |
1336132265 | James G. Dale | Internal Medicine | 250 Memorial Dr, Suite D, Luray, VA 22835-1000 | 2005-08-25 |
Street Address |
3200 LAKE WASHINGTON RD |
City | MELBOURNE |
State | FL |
Zip Code | 32934-7620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457390320 | Publix Super Markets Inc | Pharmacy | 3200 Lake Washington Rd, Melbourne, FL 32934-7620 | 2006-06-06 |
1760037071 | Stephanie Evanoff | Pharmacist | 3200 Lake Washington Rd, Melbourne, FL 32934-7620 | 2019-08-04 |
1033666268 | Kenneth Edward Johnson | Pharmacist | 3200 Lake Washington Rd, Melbourne, FL 32934-7620 | 2016-09-06 |
1902248313 | Jeffrey Karn | Pharmacist | 3200 Lake Washington Rd, Melbourne, FL 32934-7620 | 2013-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
Find all providers in zip 32934 |
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 |
---|---|---|---|---|
1871105981 | Jennifer Elbert | Pharmacist | 2176 Sarno Rd Ste 120, Melbourne, FL 32935-3086 | 2020-08-19 |
1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
1659868982 | James Mezheritskiy | Pharmacist | 1278 Tipperary Dr, Melbourne, FL 32940-6028 | 2018-04-23 |
1578068128 | Michael Alan Donato | Pharmacist | 4315 Canby Dr, Melbourne, FL 32901-8888 | 2018-03-27 |
1083123632 | Christina Gendy | Pharmacist | 1515 Palm Bay Rd Ste 108, Melbourne, FL 32905-3863 | 2017-09-27 |
1073058954 | Jennifer Mooney | Pharmacist | 1515 Elizabeth St Ste J, Melbourne, FL 32901-3000 | 2016-12-30 |
1174979389 | Carlette Norwood-williams | Pharmacist | 2475 Jen Dr Ste 3, Melbourne, FL 32940-7480 | 2016-05-05 |
1447644588 | Bianca Knight | Pharmacist | 8252 Old Tramway Dr, Melbourne, FL 32940-2184 | 2015-03-26 |
Find all providers in MELBOURNE |
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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.