DR. SERGIO DANIEL EASTMAN (NPI# 1245718543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245718543 |
| Entity Type | Individual |
| Full Name | DR. SERGIO DANIEL EASTMAN |
| Credential | PHARMD, RPH |
| Practice Address |
4173 S Tamiami Trl Venice FL 34293-5111 |
| Practice Telephone | 9414080787 |
| Mailing Telephone | 9414080787 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2020-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS57882 | FL | Pharmacy Service Providers |
| Street Address |
4173 S TAMIAMI TRL |
| City | VENICE |
| State | FL |
| Zip Code | 34293-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1265084107 | Safecare Transport, LLC | Non-emergency Medical Transport (VAN) | 18821 Bianchi Strret, Venice, FL 34293 | 2019-07-11 |
| 1932621869 | Mike Andry | Hearing Instrument Specialist | 4238 S. Tamiami Trail, Venice, FL 34293 | 2017-07-12 |
| 1659729861 | Danielle Gibellina | Occupational Therapy Assistant | 1507 S. Tuttle Ave, Magnolia Rehabilitation Center, Sarasota, FL 34293 | 2016-05-27 |
| 1891142501 | Jessica Kontoes | Behavioral Analyst | 19503 West Villages Parkway, A11, Venice, FL 34293 | 2016-05-23 |
| 1093161770 | Jillian Hinds | Behavioral Analyst | 19503 West Villages Pkwy, A11, Venice, FL 34293 | 2016-05-11 |
| 1003211509 | Roselle Joyce Beltran | Physical Therapist | 5865 Osprey Road, Venice, FL 34293 | 2014-10-27 |
| 1144649799 | Wendy Zinck-ladd | Case Manager/Care Coordinator | 19503 S.w.villages Parkway, Bldg. A, North Port, FL 34293 | 2014-04-10 |
| Find all providers in zip 34293 | ||||
| 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 |
|---|---|---|---|---|
| 1649800376 | Joseph A Pata | Pharmacist | 4150 S Tamiami Trl, Venice, FL 34293-5130 | 2020-01-22 |
| 1750925897 | Carlos Manuel Bravo | Pharmacist | 345 Jacaranda Cir, Venice, FL 34285-7016 | 2019-11-01 |
| 1164872164 | Elizabeth T Cerussi | Pharmacist | 119 Lincoln Blvd, Venice, CA 90291-2807 | 2016-06-21 |
| 1043604234 | Patricia Lynn Martinez | Pharmacist | 19876 Cobblestone Cir, Venice, FL 34292-4184 | 2015-03-25 |
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1396135273 | Maurice Campbell | Pharmacist | 458 Us Highway 41 Byp N, Venice, FL 34285-6037 | 2015-01-29 |
| 1083004402 | Hoan K Huynh Bui | Pharmacist | 138 Durian Rd, Venice, FL 34293-3213 | 2015-01-24 |
| 1871926188 | Sara Christine Ingargiola | Pharmacist | 535 Tamiami Trl S, Venice, FL 34285-2927 | 2013-08-11 |
| 1972944387 | John C Chandler | Pharmacist | 502 Cedarwood Ln, Venice, FL 34293-4150 | 2013-07-13 |
| Find all providers in VENICE | ||||
Please comment or provide details below to improve the information on DR. SERGIO DANIEL EASTMAN.
| 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.