DR. MICHAEL DAVID NEKTALOW (NPI# 1063991099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063991099 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID NEKTALOW |
| Credential | PHARM.D |
| Practice Address |
4001 Se Federal Hwy Stuart FL 34997-4909 |
| Mailing Address |
289 Courtney Lakes Cir Apt 303 West Palm Beach FL 33401-2431 |
| Practice Telephone | 7722886541 |
| Practice Fax Number | 7722886543 |
| Mailing Telephone | 7542445262 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2020-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS57815 | FL | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6294 Forest Hill Blvd, Greenacres, FL 334156109 | 5619663106 |
| Street Address |
4001 SE FEDERAL HWY |
| City | STUART |
| State | FL |
| Zip Code | 34997-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598782963 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4001 Se Federal Hwy, Stuart, FL 34997-4909 | 2006-07-16 |
| 1902417975 | Lund Eyecare | Optometrist | 4001 Se Federal Hwy, Stuart, FL 34997-4909 | 2020-08-13 |
| 1164066544 | John Dale Chiarelli | Pharmacist | 4001 Se Federal Hwy, Stuart, FL 34997-4909 | 2019-10-29 |
| 1740619477 | Clifford Leeds | Pharmacist | 4001 Se Federal Hwy, Stuart, FL 34997-4909 | 2013-11-04 |
| 1619077518 | Wal-mart Stores East, Lp | Technician/Technologist | 4001 Se Federal Hwy, Stuart, FL 34997-4909 | 2006-09-22 |
| 1225057375 | Andrea Ellen Carter | Optometrist | 4001 Se Federal Hwy, Stuart, FL 34997-4909 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| 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 |
|---|---|---|---|---|
| 1497228290 | Kirsten Meacham | Pharmacist | 303 Sw 7th St Ste A, Stuart, IA 50250-2164 | 2019-01-04 |
| 1942735154 | Mirlande Lindor | Pharmacist | 2651 Nw Federal Highway, Stuart, FL 34994-3317 | 2017-04-25 |
| 1942547666 | Timothy Lee Jobson | Pharmacist | 4741 Se Chiles Ct, Stuart, FL 34997-1531 | 2013-01-15 |
| 1710262894 | Edward Allen Justice | Pharmacist | 700 E Ocean Blvd, Stuart, FL 34994-2332 | 2011-10-20 |
| 1427330158 | Gene Sherman Gray | Pharmacist | 5800 Se Federal Highway, Stuart, FL 34997 | 2011-09-20 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1235314154 | Gregory Melendez | Pharmacist | 521 Se Edgewood Dr, Stuart, FL 34996-4714 | 2008-01-09 |
| 1376607796 | Kimberly Issac Jones | Pharmacist | 622 Colorado Ave, Stuart, FL 34994-3016 | 2006-12-20 |
| 1972679827 | Bernard Koenig | Pharmacist | 2160 S Federal Highway, Winn Dixie, Stuart, FL 34994-4515 | 2006-11-24 |
| 1396819777 | Colleen Leary Jochem | Pharmacist | 2160 South Federal Highway, Winn Dixie Pharmacy Store 307, Stuart, FL 34994 | 2006-11-20 |
| Find all providers in STUART | ||||
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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.