ST. VERENA LLC. (NPI# 1245658236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245658236 |
| Entity Type | Organization |
| Organization Name | ST. VERENA LLC. |
| Other Organization Name | MEDSOURCE PHARMACY |
| Practice Address |
13910 Fivay Rd Suite 3 Hudson FL 34667-7154 |
| Mailing Address |
3633 Beneraid St Land O Lakes FL 34638-7919 |
| Practice Telephone | 8139207063 |
| Mailing Telephone | 8134640563 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |
| Authorized Official Name | BAHER RIZKALLA (PHARMACIST/OWNER) |
| Authorized Official Telephone | 8134640563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH27506 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145050 | 01 |
| Other Name | Type Code |
|---|---|
| Medsource Pharmacy | Doing Business As Name - Organization |
| Street Address |
13910 FIVAY RD SUITE 3 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-7154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821030115 | Genesis Health Development Inc | Clinic/Center | 13910 Fivay Rd, Suite 6-7, Hudson, FL 34667-7154 | 2006-06-12 |
| 1194183780 | Ipatia Magnus | Nurse Practitioner | 13910 Fivay Rd, Suite 1, Hudson, FL 34667-7154 | 2016-02-10 |
| 1225436009 | Amber Gordon | Speech-Language Pathologist | 13910 Fivay Rd, 6-7, Hudson, FL 34667-7154 | 2014-12-10 |
| 1861813123 | Jennifer Theresa Larsson | Speech-Language Pathologist | 13910 Fivay Rd, Suite 6, Hudson, FL 34667 | 2014-01-03 |
| 1952673766 | Coastal Spine and Rehab Center LLC | Chiropractor | 13910 Fivay Rd, Ste 10, Hudson, FL 34667-7154 | 2012-02-09 |
| 1356677223 | Theresa Brown Crandall | Chiropractor | 13910 Fivay Rd, Ste. 10, Hudson, FL 34667-7154 | 2009-10-27 |
| 1396998456 | Ludmila Victorovna Treep | Massage Therapist | 13910 Fivay Rd, Hudson, FL 34667-7154 | 2008-11-02 |
| 1063695310 | Loretta L Mercer Inc | Community/Behavioral Health | 13910 Fivay Rd, Suite One, Hudson, FL 34667-7154 | 2007-12-10 |
| 1801973318 | The Center for Independence Inc | Day Training, Developmentally Disabled Services | 13910 Fivay Rd, Suite 8, Hudson, FL 34667 | 2006-11-01 |
| 1215946058 | John C Femenella | Nurse Practitioner | 13910 Fivay Rd, Suite One, Hudson, FL 34667 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517495 | Mmg Pharma LLC Cross Pharmacy | Pharmacy | 7306 State Road 52 Ste 4, Hudson, FL 34667-6750 | 2020-01-22 |
| 1942652110 | Oxford Pharmacy LLC | Pharmacy | 12134 Us Highway 19, Hudson, FL 34667-2058 | 2016-07-12 |
| 1669869376 | Lily Care LLC | Pharmacy | 8811 State Road 52 Ste 11, Hudson, FL 34667-6751 | 2015-04-20 |
| 1518202878 | Save N Care LLC | Pharmacy | 13850 Little Rd, Hudson, FL 34667-8025 | 2012-11-27 |
| 1669797569 | Avs Pharma LLC | Pharmacy | 7535 Medical Dr Unit 1, Hudson, FL 34667-6502 | 2010-04-02 |
| 1295835635 | Cvs Manchester Nh, L.L.C. | Pharmacy | 46 Morgan Rd, Hudson, NH 03051-3669 | 2006-09-25 |
| 1932203692 | Cvs Albany LLC | Pharmacy | 617 Warren St, Hudson, NY 12534-2813 | 2006-09-12 |
| 1083718985 | Holiday Cvs LLC | Pharmacy | 12015 Little Rd, Hudson, FL 34667-2922 | 2006-09-12 |
| 1144324120 | Holiday Cvs LLC | Pharmacy | 13839 Little Rd, Hudson, FL 34667-8026 | 2006-09-12 |
| 1285737940 | Ohio Cvs Stores LLC | Pharmacy | 5783 Darrow Rd, Hudson, OH 44236-3866 | 2006-09-07 |
| Find all providers in HUDSON | ||||
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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.