KRISTOFER COLUCCI (NPI# 1063800761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063800761 |
| Entity Type | Individual |
| Full Name | KRISTOFER COLUCCI |
| Practice Address |
2310 S Highway 77 Lynn Haven FL 32444-4616 |
| Practice Telephone | 8502716180 |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2015-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS51813 | FL | Pharmacy Service Providers |
| Street Address |
2310 S HIGHWAY 77 |
| City | LYNN HAVEN |
| State | FL |
| Zip Code | 32444-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306886783 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2310 S Highway 77, Lynn Haven, FL 32444-4616 | 2006-06-07 |
| 1154891976 | Anne Weaver Locke | Pharmacist | 2310 S Highway 77, Lynn Haven, FL 32444-4616 | 2018-12-05 |
| 1457699845 | Susan W Minor | Pharmacist | 2310 S Highway 77, Lynn Haven, FL 32444-4616 | 2013-01-21 |
| 1437497906 | Chester James Hardenburg IIi | Pharmacist | 2310 S Highway 77, Lynn Haven, FL 32444-4616 | 2013-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
| 1487155149 | Hope Abigail Koller | Behavior Technician | 2007 Brenda Circle, Lynn Haven, FL 32444 | 2018-02-27 |
| 1871849836 | Kristopher D Isenberg | Physical Therapy Assistant | 307 Geralo Lane, Lynn Haven, FL 32444 | 2012-07-27 |
| 1699067942 | Nation's Best Family Health Care Pllc | Family Medicine | 817 Ohio Avenue, Lynn Haven, FL 32444 | 2011-05-04 |
| 1992989883 | Medstop Pl LLC | Family Medicine | 3003 State Highway 77, Suite A, Lynn Haven, FL 32444 | 2007-12-27 |
| 1407062508 | Dianne Basford Ray | Pharmacist | 1812 Hwy 77 So, Unit #119, Lynn Haven, FL 32444 | 2007-05-15 |
| 1467679142 | St. Andrew Bay Center, Inc. | Day Training, Developmentally Disabled Services | 1804 Carolina Avenue, Lynn Haven, FL 32444 | 2007-04-20 |
| 1003030412 | Velma L Murphy | Case Manager/Care Coordinator | 1312 Virginia Avenue, Lynn Haven, FL 32444 | 2007-04-13 |
| 1437285087 | Fred William Werner | Pharmacist | 1812 Hwy 77 South, Lynn Haven, FL 32444 | 2007-02-26 |
| 1689746588 | Shawn Dey Walker | Massage Therapist | 1405 Wyoming Ave, Lynn Haven, FL 32444 | 2006-11-15 |
| Find all providers in zip 32444 | ||||
| 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 |
|---|---|---|---|---|
| 1891956868 | Robert Campbell | Pharmacist | 3439 Cherry Ridge Rd, Lynn Haven, FL 32444-5641 | 2008-06-22 |
| 1407062508 | Dianne Basford Ray | Pharmacist | 1812 Hwy 77 So, Unit #119, Lynn Haven, FL 32444 | 2007-05-15 |
| 1437285087 | Fred William Werner | Pharmacist | 1812 Hwy 77 South, Lynn Haven, FL 32444 | 2007-02-26 |
| 1316915275 | Deann Marie Mullins | Pharmacist | 726a Ohio Ave, Lynn Haven, FL 32444-1758 | 2006-03-08 |
| 1407457971 | Kimberly Bergman | Pharmacist | 2101 S Highway 77, Lynn Haven, FL 32444-4646 | 2020-11-02 |
| 1508466103 | Christina Cooper | Pharmacist | 2101 S Highway 77, Lynn Haven, FL 32444-4646 | 2020-11-01 |
| 1144827700 | Symphoni Angelique Liburd | Pharmacist | 1402 Ohio Ave, Lynn Haven, FL 32444-3743 | 2020-10-07 |
| 1013546498 | Daniel Matthew Garbett | Pharmacist | 1402 Ohio Ave, Lynn Haven, FL 32444-3743 | 2020-04-07 |
| 1154891976 | Anne Weaver Locke | Pharmacist | 2310 S Highway 77, Lynn Haven, FL 32444-4616 | 2018-12-05 |
| 1649674714 | Matthew Leslie Jinks | Pharmacist | 922 Ohio Ave, Lynn Haven, FL 32444-2354 | 2014-10-17 |
| Find all providers in LYNN HAVEN | ||||
| City | LYNN HAVEN |
| Zip Code | 32444 |
Please comment or provide details below to improve the information on KRISTOFER COLUCCI.
| 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.