CANDICE CHANTRACY TATUM (NPI# 1235375338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235375338 |
| Entity Type | Individual |
| Full Name | CANDICE CHANTRACY TATUM |
| Practice Address |
10802 Main St Suite A Thonotosassa FL 33592-2840 |
| Mailing Address |
569 Kensington Lake Cir Brandon FL 33511-3886 |
| Practice Telephone | 8134642261 |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2008-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS30579 | FL | Pharmacy Service Providers |
| Street Address |
10802 MAIN ST SUITE A |
| City | THONOTOSASSA |
| State | FL |
| Zip Code | 33592-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578715215 | Hepzibah Inc | Pharmacy | 10802 Main St, Ste A, Thonotosassa, FL 33592-2840 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760514004 | Jorge J Villalba | Psychiatry & Neurology | 12245 Broadwater Loop, Thonotosassa, FL 33592 | 2007-03-12 |
| 1730571852 | Oliver Buchanan | Custodial Care Facility | 11750 Sterling Rd, Thonotosassa, FL 33592-2122 | 2015-02-26 |
| 1437585932 | Ruby Francis | Custodial Care Facility | 11806 Sterling Rd, Thonotosassa, FL 33592-2124 | 2013-09-17 |
| 1154713279 | Ruby Francis | Custodial Care Facility | 11806 Sterling Rd, Thonotosassa, FL 33592-2124 | 2015-02-26 |
| 1821646258 | Corquisha Mosley | Home Health Aide | 9409 Bethune Dr, Thonotosassa, FL 33592-2130 | 2019-08-28 |
| 1609303734 | Suncoast Community Health Centers, Inc | Clinic/Center | 9555 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2017-05-19 |
| 1952495640 | Elaine Marie Mccarter | Pharmacy Technician | 9535 East Fowler Av., Thonotosassa, FL 33592-2139 | 2006-10-03 |
| 1255352555 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 9535 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2006-07-21 |
| 1376655993 | Mopelola Daudu | Pharmacist | 9535 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2006-08-31 |
| 1922443456 | Rj Enterprizes | Private Vehicle | 12966 Morris Bridge Rd, Lot #10, Thonotosassa, FL 33592-2444 | 2013-05-10 |
| Find all providers in zip 33592 | ||||
| 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 |
|---|---|---|---|---|
| 1376655993 | Mopelola Daudu | Pharmacist | 9535 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | THONOTOSASSA |
| Zip Code | 33592 |
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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.