MATTHEW LUTTRELL (NPI# 1164769931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164769931 |
| Entity Type | Individual |
| Full Name | MATTHEW LUTTRELL |
| Practice Address |
4265 Tamiami Trl Port Charlotte FL 33980-2152 |
| Practice Telephone | 9416290084 |
| Mailing Telephone | 9416290084 |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2013-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS44958 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821369497 | Matthew Richard Luttrell | Physician Assistant | 7685 S Brockway, Yale, MI 85715-3475 | 2012-01-13 |
| 1174157515 | Matthew Lee Luttrell | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-02-25 |
| 1811454432 | Matthew James Luttrell | Registered Nurse | 501 N Graham St, Portland, OR 97227-1654 | 2019-03-01 |
| Street Address |
4265 TAMIAMI TRL |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33980-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048784 | Publix Super Markets Inc | Pharmacy | 4265 Tamiami Trl, Port Charlotte, FL 33980-2152 | 2006-06-08 |
| 1427673003 | Victoria Marie Sweet | Pharmacist | 4265 Tamiami Trl, Port Charlotte, FL 33980-2152 | 2020-06-10 |
| 1447698428 | Michael Farris | Pharmacist | 4265 Tamiami Trl, Port Charlotte, FL 33980-2152 | 2013-06-12 |
| 1194062257 | Pamela Elizabeth Mcdonald-dorman | Pharmacist | 4265 Tamiami Trl, Port Charlotte, FL 33980-2152 | 2013-01-09 |
| 1962676189 | Mdk Ventures L.l.c | Durable Medical Equipment & Medical Supplies | 4265 Tamiami Trl, Unit E, Port Charlotte, FL 33980-2152 | 2008-04-18 |
| 1093907784 | Stephen Mason | Technician/Technologist | 4265 Tamiami Trl, Suite G, Port Charlotte, FL 33980-2152 | 2007-08-16 |
| 1639361322 | Jackson Optical LLC | Technician/Technologist | 4265 Tamiami Trl, Suite G, Port Charlotte, FL 33980-2152 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1649616517 | Anne Yvonne Clarke | Nurse's Aide | 3378 Idlewild Street, Port Charlotte, FL 33980 | 2013-05-17 |
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1811221484 | Amanda K Huffman | Clinical Nurse Specialist | 22655 Bayshore Rd Ste 130, Port Charlotte, FL 33980 | 2009-09-29 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1821278029 | Paula Marie Allison | Dietitian, Registered | 23422 Burlingame Ave, Port Charlotte, FL 33980 | 2007-11-06 |
| 1689865891 | Keith Anthony Williams | Physical Medicine & Rehabilitation | 4265 Laura Street, Port Charlotte, FL 33980 | 2007-08-05 |
| 1578685491 | Richard Michael Cocchieri | Dentist | Florida Department of Health In Charlotte County, 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2007-04-03 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| Find all providers in zip 33980 | ||||
| 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 |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1417415654 | James Richard Belden | Pharmacist | 17212 Russell Ave, Port Charlotte, FL 33954-1504 | 2019-03-06 |
| 1649783804 | Randyel Luis | Pharmacist | 24051 Peachland Blvd, Port Charlotte, FL 33954-3714 | 2017-11-09 |
| 1811361215 | Jillian Dano | Pharmacist | 2525 Tamiami Trl Ste G, Port Charlotte, FL 33952-6472 | 2015-11-23 |
| 1841537487 | Victor Leonard Sabarese | Pharmacist | 24128 Green Heron Dr, Port Charlotte, FL 33980-5255 | 2013-01-15 |
| 1639451859 | Ronald D Heon | Pharmacist | 18087 York Ave, Port Charlotte, FL 33948-6053 | 2011-09-14 |
| 1356663173 | Dode Allen Hoskins | Pharmacist | 19400 Cochran Blvd, Port Charlotte, FL 33948-2036 | 2010-02-21 |
| 1790943785 | Patricia R Connolly | Pharmacist | 3001 Tamiami Trl, C/o Walgreens, Port Charlotte, FL 33952-6601 | 2008-05-28 |
| 1003089681 | Edward J Szmigiel | Pharmacist | 13435 South Mccall Rd, Port Charlotte, FL 33981 | 2008-04-04 |
| 1396920179 | Shirley Peeples Mccarty | Pharmacist | 13435 Mccall Rd, Port Charlotte, FL 33981-6422 | 2007-12-30 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
Please comment or provide details below to improve the information on MATTHEW LUTTRELL.
| 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.