KATHLEEN KANANI GRAHAM (NPI# 1104320126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104320126 |
| Entity Type | Individual |
| Full Name | KATHLEEN KANANI GRAHAM |
| Credential | PHARM. D. |
| Practice Address |
1401 S. Federal Highway Ft. Lauderdale FL 33316 |
| Mailing Address |
1401 S Federal Hwy Ft Lauderdale FL 33316-2619 |
| Practice Telephone | 9547281111 |
| Practice Fax Number | 9547125072 |
| Mailing Telephone | 9547281111 |
| Mailing Fax Number | 9547125072 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS29258 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831650829 | Kathleen Rose Graham | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2019-03-31 |
| 1033683347 | Kathleen Graham | Registered Nurse | 4377 Bronx Blvd, Bronx, NY 10466-1397 | 2019-01-20 |
| 1043760200 | Kathleen Graham | Nurse Practitioner | 1900 N 9th St, Philadelphia, PA 19122 | 2016-10-11 |
| 1407100357 | Kathleen Powers Graham | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2012-10-30 |
| 1851658124 | Kathleen Wakefield Graham | Family Medicine | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519-0910 | 2012-04-11 |
| 1811285547 | Kathleen Joan Graham | Physical Therapist | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2011-07-15 |
| 1437361003 | Kathleen Graham | Dentist | 101 B Parking Way, Lake Jackson, TX 77566 | 2007-05-04 |
| 1760465199 | Kathleen M Graham | Nurse Practitioner | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-11-21 |
| Street Address |
1401 S. FEDERAL HIGHWAY |
| City | FT. LAUDERDALE |
| State | FL |
| Zip Code | 33316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| 1750799664 | Shalonna Denise Battle | Nurse Practitioner | 1625 Se 3rd Ave Ste 400, Fort Lauderdale, FL 33316 | 2014-07-24 |
| Find all providers in zip 33316 | ||||
| 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 |
|---|---|---|---|---|
| 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 | FT. LAUDERDALE |
| Zip Code | 33316 |
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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.