KEVIN RILEY (NPI# 1235535014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235535014 |
| Entity Type | Individual |
| Full Name | KEVIN RILEY |
| Practice Address |
2038 Us Highway 98 W Santa Rosa Beach FL 32459-5322 |
| Mailing Address |
9500 Grand Blvd. Miramar Beach FL 32550 |
| Practice Telephone | 8502671166 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS47122 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA PHAMACIST LICENSE | PS47122 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154809705 | Kevin Riley | Non-emergency Medical Transport (VAN) | 4320 Elvira St, Pahrump, NV 89048-0679 | 2018-08-04 |
| 1497870703 | Kevin Paul Riley | Massage Therapist | 147 Palm St, Bangor, ME 04401-4021 | 2007-03-20 |
| 1023674553 | Kevin Riley | Student in an Organized Health Care Education/Training Program | 6355 Walker Ln Ste 512, Alexandria, VA 22310-3251 | 2019-05-09 |
| 1285117598 | Kevin Constantine Riley | Nurse Practitioner | 650 Ashford St, Brooklyn, NY 11207 | 2018-09-12 |
| 1376063123 | Kevin Riley | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1629524343 | Kevin Riley | Nurse Practitioner | 321 North Warren Street, Trenton, NJ 08618 | 2016-09-01 |
| 1114166071 | Kevin R. Riley | Pharmacist | 175 Great Oaks Trl, Wadsworth, OH 44281-8712 | 2009-02-16 |
| 1427233436 | Kevin Young Riley | Social Worker | 420 3rd Ave Sw, Albany, OR 97321-2261 | 2008-01-09 |
| 1841474780 | Kevin Riley | Psychologist | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2007-12-27 |
| Street Address |
2038 US HIGHWAY 98 W |
| City | SANTA ROSA BEACH |
| State | FL |
| Zip Code | 32459-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942431036 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2009-08-06 |
| 1144735200 | Gary Allen Perkins | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2017-12-11 |
| 1477094100 | Heather Rutkowski | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2017-03-14 |
| 1922345503 | Kim Khanh Thi Nguyen | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2013-01-15 |
| 1841537917 | Michael Carmen Larussa IIi | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740521 | Gary Mcfadyen | Hearing Instrument Specialist | 395 E. Point Washington, Santa Rosa Beach, FL 32459 | 2020-11-04 |
| 1235783218 | Camilla Ruth Chacon | Nurse Practitioner | 4821 Highway 98 West, Suite 104, Santa Rosa Beach, FL 32459 | 2019-07-29 |
| 1942797287 | Lauren Mank | Assistant Behavior Analyst | 67 Hiker St Fl 32459, Santa Rosa Beach, FL 32459 | 2018-04-20 |
| 1740781137 | Imaging Institute LLC | Radiology | 6757 Us Hwy 98 W Ste 301, Santa Rosa Beach, FL 32459 | 2018-02-22 |
| 1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
| 1215485230 | Tamra Snook | Social Worker | 156 N County Highway 393 Unit 1, Santa Rosa Beach, FL 32459 | 2016-09-19 |
| 1437605730 | Alexandra Armstrong | Physical Therapist | 249 Mack Bayou Loop Ste 101, Santa Rosa Beach, FL 32459 | 2016-08-28 |
| 1386097749 | Itetra Smith | Behavior Technician | 67 Hiker St, Santa Rosa Beach, FL 32459 | 2016-07-20 |
| 1730527086 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Drive, Santa Rosa Beach, FL 32459 | 2013-06-10 |
| 1114269768 | Pamela Jean Skaff | Dentist | 101 Lecom Way, Defuniak Springs, FL 32459 | 2013-03-21 |
| Find all providers in zip 32459 | ||||
| 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 |
|---|---|---|---|---|
| 1285998575 | Kelly David Lash | Pharmacist | 27 Mack Bayou Loop Suite #1000, Sacred Heart Medical Oncology Group, Santa Rosa Beach, FL 32549 | 2012-07-02 |
| 1144735200 | Gary Allen Perkins | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2017-12-11 |
| 1477094100 | Heather Rutkowski | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2017-03-14 |
| 1942609805 | Robert Stephen Lamotte | Pharmacist | 6712 Us Highway 98 W, Santa Rosa Beach, FL 32459-6900 | 2014-08-17 |
| 1922345503 | Kim Khanh Thi Nguyen | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2013-01-15 |
| 1841537917 | Michael Carmen Larussa IIi | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2013-01-10 |
| 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 | SANTA ROSA BEACH |
| Zip Code | 32459 |
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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.