DR. JACK DEAN II (NPI# 1124265608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124265608 |
| Entity Type | Individual |
| Full Name | DR. JACK DEAN II |
| Credential | PHARM.D. |
| Practice Address |
2727 Winkler Ave Fort Myers FL 33901-9358 |
| Practice Telephone | 2399393865 |
| Mailing Telephone | 2399393865 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS40455 | FL | Pharmacy Service Providers |
| Street Address |
2727 WINKLER AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-9358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235101270 | Frederick Hall | Physician Assistant | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2006-02-03 |
| 1902279979 | Jennifer Wax | Dietitian, Registered | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2015-11-12 |
| 1104079821 | Department of Veterans Affairs | Clinic/Center | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2008-10-25 |
| 1316198328 | Anton Kolobov | Internal Medicine | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2008-10-08 |
| 1417156175 | Charles Northup | Emergency Medicine | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2007-07-13 |
| 1023194750 | Frederick C Reaves | Physician Assistant | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2006-10-27 |
| 1285745430 | Southwest Florida Regional Medical Center, Inc. | General Acute Care Hospital | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2006-08-31 |
| 1760401186 | David A Farcy | Emergency Medicine | 2727 Winkler Ave, 2nd Floor Icu, Fort Myers, FL 33901-9358 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| 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 |
|---|---|---|---|---|
| 1891923355 | Mahendra J Chaudhari | Pharmacist | 18911 S Tamiami Trl Ste 13, Fort Myers, FL 33908-4739 | 2009-06-23 |
| 1033736913 | Walter Robert Karpinia | Pharmacist | 2692 Oak Ridge Ct, Fort Myers, FL 33901-9351 | 2020-06-26 |
| 1821352386 | Jordan Michael Bowmaster | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916-9413 | 2012-06-29 |
| 1730474206 | Brian Ward Nelson | Pharmacist | 9350 Dynasty Dr, Target 2369, Fort Myers, FL 33905-5574 | 2011-06-13 |
| 1952548430 | Wendy Dean | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2009-01-20 |
| 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 | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on DR. JACK DEAN II.
| 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.