DR. DIANE GOMES (NPI# 1104175538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104175538 |
| Entity Type | Individual |
| Full Name | DR. DIANE GOMES |
| Credential | PHARM.D. |
| Practice Address |
655 West 8th Street Jacksonville FL 32209 |
| Practice Telephone | 9042444571 |
| Mailing Telephone | 9042444571 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS49398 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940860 | Diane Medeiros Gomes | Pharmacist | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-10-26 |
| Street Address |
655 WEST 8TH STREET |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457572216 | Inbal Cohen | Radiology | 655 West 8th Street, Ufjp Radiology Dept, Jacksonville, FL 32209 | 2007-05-01 |
| 1447713722 | Conor Keeley | Student in an Organized Health Care Education/Training Program | 655 West 8th Street, Acc Building, 2nd Floor, Box C-126, Jacksonville, FL 32209 | 2019-04-12 |
| 1568924819 | Meryam Irfan Jan | Pediatrics | 655 West 8th Street, Jacksonville, FL 32209 | 2019-04-04 |
| 1396249355 | John Edward Burke | Orthopaedic Surgery | 655 West 8th Street, 2nd Floor, Ambulatory Care Center, Jacksonville, FL 32209 | 2018-03-22 |
| 1871015016 | Shannon Blizzard Usztok | Pharmacist | 655 West 8th Street, Pharmacy, #83, Jacksonville, FL 32209 | 2017-07-10 |
| 1285161919 | Darren William Brow | Student in an Organized Health Care Education/Training Program | 655 West 8th Street, 1st Floor, Clinical Center, Jacksonville, FL 32209 | 2017-05-12 |
| 1467987545 | Jared Bell | Orthopaedic Surgery | 655 West 8th Street, Acc Bldg, 2nd Floor, Box C-126, Jacksonville, FL 32209 | 2017-04-26 |
| 1629429303 | Oyindamola Temitope Akinjogbin | Student in an Organized Health Care Education/Training Program | 655 West 8th Street, Cardiovascular Center, 5th Floor Ambulatory Care Center, Jacksonville, FL 32209 | 2016-06-23 |
| 1609263151 | Basma Mohammad Elhaddad | Student in an Organized Health Care Education/Training Program | 655 West 8th Street, Jacksonville, FL 32209 | 2015-04-22 |
| 1134563851 | Laura Benedict | Pharmacist | 655 West 8th Street, Shands Jacksonville Department of Pharmacy, Jacksonville, FL 32209 | 2013-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| 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 |
|---|---|---|---|---|
| 1912343492 | Alyson Gibson Wilder | Pharmacist | 13925 Fish Eagle Dr E, Jacksonville, FL 32226-5894 | 2013-05-10 |
| 1235368473 | Dione Kisha Washington | Pharmacist | 10137 Lancashire Dr, Jacksonville, FL 32219-4367 | 2009-07-09 |
| 1659986529 | Henry Lee Simmons Jr. | Pharmacist | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-09-09 |
| 1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
| 1649880097 | Meseret Tilahun Dabi | Pharmacist | 655 W 8th St # C-89, Jacksonville, FL 32209-6511 | 2020-07-31 |
| 1962040550 | Mara George | Pharmacist | 103 Gregory Pl, Jacksonville, AR 72076-3211 | 2019-12-15 |
| 1699326223 | Mariya Kotova | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2019-09-25 |
| 1386099406 | Tracy Nicole Coker Durrett | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2016-04-26 |
| 1831527878 | Lori Serrano Fiallo | Pharmacist | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-10-30 |
| 1588005680 | Lindsey Shea Tate | Pharmacist | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on DR. DIANE GOMES.
| 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.