FADY SAMAH SAMY YASSA (NPI# 1194382036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194382036 |
| Entity Type | Individual |
| Full Name | FADY SAMAH SAMY YASSA |
| Practice Address |
1106 Clearlake Rd Cocoa FL 32922-6402 |
| Practice Telephone | 3216323150 |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2019-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS54714 | FL | Pharmacy Service Providers |
| Street Address |
1106 CLEARLAKE RD |
| City | COCOA |
| State | FL |
| Zip Code | 32922-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932114113 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1106 Clearlake Rd, Cocoa, FL 32922-6402 | 2006-07-29 |
| 1821618281 | Vignesh Ravikumar | Pharmacist | 1106 Clearlake Rd, Cocoa, FL 32922-6402 | 2020-04-25 |
| 1669755229 | Karen J Snyder | Pharmacist | 1106 Clearlake Rd, Cocoa, FL 32922-6402 | 2011-09-21 |
| 1306128020 | Celestino Jose Argudin IIi | Pharmacist | 1106 Clearlake Rd, Cocoa, FL 32922-6402 | 2011-09-20 |
| 1992087522 | Trishna Patel | Pharmacist | 1106 Clearlake Rd, Cocoa, FL 32922-6402 | 2011-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| 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 |
|---|---|---|---|---|
| 1902291388 | Tejas Mehta | Pharmacist | 6801 N Us Highway 1, Cocoa, FL 32927-5084 | 2015-04-01 |
| 1427499599 | Gary Ray Rudolph | Pharmacist | 7125 Us 1, Cocoa, FL 32927 | 2013-07-17 |
| 1659619146 | Jennifer Vajanyi | Pharmacist | 2301 Sr 524, Cocoa, FL 32926 | 2013-01-18 |
| 1295072023 | Jim Eavey | Pharmacist | 2301 State Road 524, Cocoa, FL 32926-5819 | 2013-01-14 |
| 1386856110 | Tri M Le | Pharmacist | 6257 U.S. Hwy 1, Cocoa, FL 32927 | 2007-05-04 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| 1568062925 | Brent Kasza | Pharmacist | 2700 Clearlake Rd, Cocoa, FL 32922-5716 | 2020-10-27 |
| 1356941678 | Erica Greenwood | Pharmacist | 450 Townsend Rd, Cocoa, FL 32926-3308 | 2020-10-27 |
| 1366053134 | Eejong Choi | Pharmacist | 7415 N Highway 1, Cocoa, FL 32927-5008 | 2020-08-13 |
| 1821618281 | Vignesh Ravikumar | Pharmacist | 1106 Clearlake Rd, Cocoa, FL 32922-6402 | 2020-04-25 |
| Find all providers in COCOA | ||||
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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.