MRS. IRINA ANTONOVA (NPI# 1043597123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043597123 |
| Entity Type | Individual |
| Full Name | MRS. IRINA ANTONOVA |
| Credential | PHARMD |
| Practice Address |
2855 Stirling Rd Fort Lauderdale FL 33312-6516 |
| Mailing Address |
2053 N University Dr Sunrise FL 33322-3936 |
| Practice Telephone | 9549811107 |
| Practice Fax Number | 9549811816 |
| Mailing Telephone | 9544515578 |
| Mailing Fax Number | 9549811816 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS41641 | FL | Pharmacy Service Providers |
| Street Address |
2855 STIRLING RD |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497287437 | Christine Blanco | Nurse Practitioner | 2855 Stirling Rd, Fort Lauderdale, FL 33312-6516 | 2017-03-29 |
| 1427334440 | Fulani Yates | Pharmacist | 2855 Stirling Rd, Fort Lauderdale, FL 33312-6516 | 2011-10-24 |
| 1366618621 | Diana Esteva | Pharmacist | 2855 Stirling Rd, Fort Lauderdale, FL 33312-6516 | 2008-05-06 |
| 1912173287 | Alicia Chang Libero | Pharmacist | 2855 Stirling Rd, Fort Lauderdale, FL 33312-6516 | 2008-05-06 |
| 1922274901 | Nhan Phan | Pharmacist | 2855 Stirling Rd, Fort Lauderdale, FL 33312-6516 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| 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 |
|---|---|---|---|---|
| 1225649940 | Roberto Carlos Campbell | Pharmacist | 4821 Sw 43rd Ter, Fort Lauderdale, FL 33314-5636 | 2020-08-14 |
| 1578171278 | Tina Louise Gellman | Pharmacist | 3011 Ne 40th St, Fort Lauderdale, FL 33308-5829 | 2020-07-19 |
| 1093283723 | Matthew David Simpson | Pharmacist | 919 Ne 13th St Rm 244, Fort Lauderdale, FL 33304-2009 | 2018-11-12 |
| 1467851949 | Aaron Trujillo | Pharmacist | 2445 Sw 18th Ter Apt 405, Fort Lauderdale, FL 33315-2237 | 2014-08-20 |
| 1083032353 | Jeffrey Boudette | Pharmacist | 7667 Grant St, Fort Lauderdale, FL 33301-2331 | 2014-04-02 |
| 1356774699 | Alicia Kay Bernstein | Pharmacist | 3333 Ne 34th St, Unit 1317, Fort Lauderdale, FL 33308-6948 | 2013-08-09 |
| 1215275896 | Anllel Alfonso | Pharmacist | 1320 N Dixie Hwy Apt 10, Fort Lauderdale, FL 33304-4762 | 2013-01-16 |
| 1548504434 | Krystal Salsburg | Pharmacist | 1021 Sw 18th St, Fort Lauderdale, FL 33315-1915 | 2012-11-16 |
| 1619244407 | Anil Yousaf | Pharmacist | 5101 Nw 21st Ave Ste 520-530, Fort Lauderdale, FL 33309-2792 | 2011-11-21 |
| 1982988598 | Georgia Lenpzos Lehoczky | Pharmacist | 5101 Nw 21st Avenue, Fort Lauderdale, FL 33309 | 2011-09-30 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
Please comment or provide details below to improve the information on MRS. IRINA ANTONOVA.
| 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.