MR. THEODORE ROOSEVELT HOUSTON (NPI# 1174509913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174509913 |
| Entity Type | Individual |
| Full Name | MR. THEODORE ROOSEVELT HOUSTON |
| Practice Address |
855 W Tennessee St Thagard Health Center, Florida State University Tallahassee FL 32304-7834 |
| Mailing Address |
2404 Mexia Ave Tallahassee FL 32304-1321 |
| Practice Telephone | 8506441015 |
| Practice Fax Number | 8506545570 |
| Mailing Telephone | 8505764929 |
| Mailing Fax Number | 8505764929 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12648 | FL | Pharmacy Service Providers |
| Street Address |
855 W TENNESSEE ST THAGARD HEALTH CENTER, FLORIDA STATE UNIVERSITY |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32304-7834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214946 | Jamel V Chandler | Adult Companion | 2665 Mission Road., Tallahassee, FL 32304 | 2020-08-05 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1508210022 | Angela Nechele Hall | Physical Therapist | 1329 Abraham Street, Tallahassee, FL 32304 | 2016-04-21 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1104241314 | Osita Abanah | Pharmacist | 1819 West Tennessee St, Tallahassee, FL 32304 | 2014-02-25 |
| 1437584265 | Kristan Aliesha Morgan | Nurse Practitioner | 501 Capital Circle Ne, Tallahassee, FL 32304 | 2013-09-11 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| 1104016401 | Elder Care Services, Inc. | Homemaker | 2518 W Tennessee St, Tallahassee, FL 32304 | 2007-08-01 |
| 1760548234 | Patricia Janice Mitchell | Adult Companion | 4177 Pleasant Drive, Tallahassee, FL 32304 | 2006-12-29 |
| Find all providers in zip 32304 | ||||
| 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 |
|---|---|---|---|---|
| 1548860596 | Stacy Poe | Pharmacist | 4021 Lagniappe Way, Tallahassee, FL 32317-1201 | 2020-10-29 |
| 1922610351 | Noura Khattab | Pharmacist | 6475 Tracy Ln, Tallahassee, FL 32309-2174 | 2020-08-18 |
| 1831718634 | Jim Saintremy | Pharmacist | 900 Riggins Rd Apt 411, Tallahassee, FL 32308-0002 | 2020-04-11 |
| 1821617754 | Mikhail Ashley Tolbert | Pharmacist | 2519 Old Bainbridge Rd Apt D, Tallahassee, FL 32303-3562 | 2020-04-10 |
| 1992335467 | Twila Monisa Wright | Pharmacist | 1033 Piney Z Plantation Rd, Tallahassee, FL 32311-1252 | 2020-01-23 |
| 1497398333 | Kyli Roberts | Pharmacist | 1557 Copperfield Cir, Tallahassee, FL 32312-3795 | 2019-10-23 |
| 1356901813 | Ann Elizabeth Guillen | Pharmacist | 3432 Clifden Dr, Tallahassee, FL 32309-2438 | 2019-06-17 |
| 1114498706 | Musa Mohammad Darwish | Pharmacist | 2350 Phillips Rd Apt 4305, Tallahassee, FL 32308-5380 | 2018-12-08 |
| 1871074377 | Andrea Rukiya Butler | Pharmacist | 8332 Balmoral Dr, Tallahassee, FL 32311-9442 | 2018-08-23 |
| 1245755180 | Marrissa Walker | Pharmacist | 5032 Capital Cir Sw Ste 1, Tallahassee, FL 32305-7886 | 2017-08-11 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32304 |
Please comment or provide details below to improve the information on MR. THEODORE ROOSEVELT HOUSTON.
| 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.