DR. DEBORAH J LARISON (NPI# 1083699391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083699391 |
Entity Type | Individual |
Full Name | DR. DEBORAH J LARISON |
Credential | PHARM.D. |
Practice Address |
5420 9th St N St Petersburg FL 33703-1202 |
Practice Telephone | 7275265769 |
Practice Fax Number | 7275260899 |
Mailing Telephone | 7275265769 |
Mailing Fax Number | 7275260899 |
Enumeration Date | 2005-12-08 |
Last Update Date | 2012-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | PU6115 | FL | Pharmacy Service Providers |
N | 183500000X | Pharmacist | PS37938 | FL | Pharmacy Service Providers |
N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS37938 | FL | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS37938 | FL | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLROIDA PHARMACY LICENSE | PS37938 | 01 |
FL | CONSULTANT PHARMACIST LIC | PU6115 | 01 |
Street Address |
5420 9TH ST N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33703-1202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326650615 | Christopher John Kiernan IIi | Pharmacist | 5420 9th St N, St Petersburg, FL 33703-1202 | 2020-08-19 |
1508137415 | Terri Ann Bear | Pharmacist | 5420 9th St N, St Petersburg, FL 33703-1202 | 2012-01-24 |
1811267701 | Jason Edward Smith | Pharmacist | 5420 9th St N, St Petersburg, FL 33703-1202 | 2012-01-09 |
1396750576 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5420 9th St N, St Petersburg, FL 33703-1202 | 2006-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
Find all providers in zip 33703 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285120014 | Christine Redfield | Pharmacist | 3401 45th St N, St Petersburg, FL 33713-1130 | 2018-07-04 |
1083090674 | Jamie L Studniarz | Pharmacist | 4748 12th Ave N, St Petersburg, FL 33713-5116 | 2015-08-05 |
1376719195 | Gaston J-m Bedard | Pharmacist | 330 5th St N, St Petersburg, FL 33701-2812 | 2008-05-01 |
1578045746 | Cody Austin Finley | Pharmacist | 5295 34th St S, St Petersburg, FL 33711-4517 | 2018-09-04 |
1023434446 | Amanda Memken | Pharmacist | 501 6th Ave S, Pharmacy Department, St Petersburg, FL 33701-4634 | 2014-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
Find all providers with the same taxonomy |
City | ST PETERSBURG |
Zip Code | 33703 |
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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.