MR. ALFRED J. SIRUTIS JR. (NPI# 1093030900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093030900 |
| Entity Type | Individual |
| Full Name | MR. ALFRED J. SIRUTIS JR. |
| Credential | RPH |
| Practice Address |
810 Saxon Blvd Attn: Pharmacy Orange City FL 32763-8203 |
| Practice Telephone | 3867741133 |
| Practice Fax Number | 3867740995 |
| Mailing Telephone | 3867741133 |
| Mailing Fax Number | 3867740995 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS31363 | FL | Pharmacy Service Providers |
| Street Address |
810 SAXON BLVD ATTN: PHARMACY |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-8203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154634285 | Doris E Carrion | Pharmacist | 810 Saxon Blvd, Orange City, FL 32763-8203 | 2010-07-19 |
| 1487685517 | K Mart Corp | Pharmacy | 810 Saxon Blvd, Orange City, FL 32763-8203 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| 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 |
|---|---|---|---|---|
| 1366927311 | Jenny Vuong | Pharmacist | 2556 Enterprise Rd Ste 100, Orange City, FL 32763-7939 | 2018-09-26 |
| 1134584956 | Julie Ann May-arends | Pharmacist | 1700 Albany Pl Se, Orange City, IA 51041-9680 | 2015-12-21 |
| 1750672085 | Ramy Malak | Pharmacist | 870 Saxon Blvd Ste 45, Orange City, FL 32763-8209 | 2011-04-20 |
| 1518121953 | Abiola J Fakeye | Pharmacist | 700 Lake Emerald Ave, Orange City, FL 32763-8407 | 2008-07-15 |
| 1174564843 | Mikel B. Tuten | Pharmacist | 2742 Enterprise Rd, Orange City, FL 32763-8353 | 2006-06-10 |
| 1538145248 | Tarak Patel | Pharmacist | 1039 Harley Strickland Blvd Ste 600, Orange City, FL 32763-7981 | 2005-12-15 |
| 1477153245 | Kimberly Alvarez | Pharmacist | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 | 2020-10-29 |
| 1023652161 | Aimara Rita Gonzalez Sobrino | Pharmacist | 921 Town Center Dr Ste 100, Orange City, FL 32763-8266 | 2019-11-01 |
| 1023443199 | Russell Gordon Blenis | Pharmacist | 2583 S Volusia Ave, Orange City, FL 32763-9129 | 2013-09-09 |
| 1336583780 | Covia Monice Tullis | Pharmacist | 2575 Enterprise Rd, Orange City, FL 32763-7960 | 2013-04-28 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
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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.