MR. BOLAJI A AGBEDE (NPI# 1265565048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265565048 |
Entity Type | Individual |
Full Name | MR. BOLAJI A AGBEDE |
Credential | R.PH |
Practice Address |
179 E Bloomingdale Ave Brandon FL 33511-8102 |
Mailing Address |
1342 Flaxwood Ave Brandon FL 33511-8809 |
Practice Telephone | 8136819858 |
Practice Fax Number | 8136613602 |
Mailing Telephone | 8136853209 |
Mailing Fax Number | 8136572449 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PS0034678 | FL | Pharmacy Service Providers |
Street Address |
179 E BLOOMINGDALE AVE |
City | BRANDON |
State | FL |
Zip Code | 33511-8102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396258901 | Melodie Hamilton | Pharmacy Technician | 179 E Bloomingdale Ave, Brandon, FL 33511-8102 | 2017-11-06 |
1841683166 | Joseph John Ditolla | Pharmacist | 179 E Bloomingdale Ave, Brandon, FL 33511-8102 | 2015-03-11 |
1659392959 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 179 E Bloomingdale Ave, Brandon, FL 33511-8102 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
Find all providers in zip 33511 |
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 |
---|---|---|---|---|
1306460886 | Amanda Nicole Cox | Pharmacist | 103 Langford Dr, Brandon, MS 39047-8304 | 2020-06-01 |
1942831144 | Uyen Vo | Pharmacist | 1611 Ledgestone Dr, Brandon, FL 33511-8321 | 2020-01-28 |
1962915405 | Kimsey O'neal | Pharmacist | 608 Marquette Rd, Brandon, MS 39042-3037 | 2017-11-07 |
1740792563 | Andrew Ort | Pharmacist | 1726 Wakefield Dr, Brandon, FL 33511-2312 | 2017-11-02 |
1194266262 | Cierra Jessica Harden | Pharmacist | 105 S Moon Ave, Brandon, FL 33511-5109 | 2017-03-09 |
1487011979 | Daliana Vazquez-nieves | Pharmacist | 808 Milano Cir Apt 103, Brandon, FL 33511-7026 | 2016-01-28 |
1598130791 | Larry Bowman | Pharmacist | 1002 Hollyberry Ct, Brandon, FL 33511-7650 | 2015-12-14 |
1306211958 | Deepak Gupta | Pharmacist | 1035 Professional Park Dr, Brandon, FL 33511-4886 | 2015-12-08 |
1164808861 | Derek Fluty | Pharmacist | 3427 Forest Bridge Cir, Brandon, FL 33511-8120 | 2015-08-04 |
1801272786 | Nancy Ann Striker | Pharmacist | 517 N Parsons Ave, Brandon, FL 33510-3611 | 2015-08-03 |
Find all providers in BRANDON |
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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.