DR. AMY BETH FAGAN (NPI# 1265617955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265617955 |
| Entity Type | Individual |
| Full Name | DR. AMY BETH FAGAN |
| Credential | R.PH., J.D. |
| Practice Address |
4673 9th St N Naples FL 34103-3004 |
| Mailing Address |
3670 Periwinkle Way Naples FL 34114-2537 |
| Practice Telephone | 2396496686 |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2011-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS46292 | FL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 10957-40 | WI | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 5302027330 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494782 | Amy Fagan | Nurse Practitioner | 152 Conant St Ste 3, Beverly, MA 01915-1659 | 2016-05-04 |
| 1730131517 | Amy Elizabeth Fagan | Physical Therapist | 4818 Market Square Ln, Midlothian, VA 23112-4826 | 2006-05-17 |
| Street Address |
4673 9TH ST N |
| City | NAPLES |
| State | FL |
| Zip Code | 34103-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891700910 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4673 9th St N, Naples, FL 34103-3004 | 2006-07-29 |
| 1912249442 | Kimberly Bloomer | Pharmacist | 4673 9th St N, Naples, FL 34103-3004 | 2013-03-22 |
| 1194095463 | Arthur Douglas Motley Jr. | Pharmacist | 4673 9th St N, Naples, FL 34103-3004 | 2012-01-04 |
| 1831468990 | Dean A Post | Pharmacist | 4673 9th St N, Naples, FL 34103-3004 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871031 | Andrea Clarice Romero | Acupuncturist | 1044 Castello Dr. Suite 105, Naples, FL 34103 | 2019-06-21 |
| 1720526387 | A Change of Mind, LLC | Community/Behavioral Health | 5020 Tamiami Trail N, Suite 202, Naples, FL 34103 | 2017-02-03 |
| 1316499510 | Hear Again LLC | Hearing Aid Equipment | 4951 Tamiami Trail N, Ste # 104, Naples, FL 34103 | 2016-11-04 |
| 1801274923 | Naples Pharmacy Services | Pharmacy | 5600 Trail Blvd Suit 10, Naples, FL 34103 | 2015-05-08 |
| 1053799361 | Total Home Health Naples, LLC. | Home Health | 4851 Tamiami Trail, Suite 200, Naples, FL 34103 | 2015-05-07 |
| 1285027599 | Naples Podiatry | Podiatrist | 4763 Tamiami Trail North, Naples, FL 34103 | 2015-03-11 |
| 1265842280 | Guardian of Hope Senior Home, LLC | Home Health | 2900 14th N Suite 3a, Naples, FL 34103 | 2014-04-29 |
| 1740556356 | My Sleep Apnea, LLC | Durable Medical Equipment & Medical Supplies | 4910 Tamiami Tr N., Suite 114, Naples, FL 34103 | 2012-03-28 |
| 1477825727 | Pain Relief Center, P.a | Chiropractor | 840 Anchor Rode Drive, Naples, FL 34103 | 2012-02-02 |
| 1225312515 | Darrow Chiropractic Clinic Inc. | Chiropractor | 3400 N. Tamiami Tr., Ste 104, Naples, FL 34103 | 2011-10-05 |
| Find all providers in zip 34103 | ||||
| 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 |
|---|---|---|---|---|
| 1366058455 | Angela Maria Eastman | Pharmacist | 4849 Golden Gate Parkway, Naples, FL 34116 | 2020-09-23 |
| 1538773338 | Clarisse Mukeshimana | Pharmacist | 1565 Airport Pulling Rd S, Naples, FL 34104-4351 | 2020-08-31 |
| 1730701731 | Walter William Gauger | Pharmacist | 217 Airport Pulling Rd N, Naples, FL 34104-3502 | 2020-05-12 |
| 1164067724 | Ava M Rocks | Pharmacist | 6605 Collier Blvd, Naples, FL 34114 | 2019-11-07 |
| 1710538384 | Karina Manoogian | Pharmacist | 4890 Davis Blvd, Naples, FL 34104-5338 | 2019-09-25 |
| 1063071801 | Michael Kenney | Pharmacist | 3180 Beck Blvd # D-13, Naples, FL 34114-1203 | 2019-06-06 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1235672650 | Gavin Michael Klaus | Pharmacist | 2245 Malibu Lake Cir Apt 436, Naples, FL 34119-8786 | 2016-12-02 |
| 1811449408 | Brady Cairns | Pharmacist | 8727 Coastline Ct Apt 102, Naples, FL 34120-4521 | 2016-10-29 |
| 1356899488 | Claudia Prieto | Pharmacist | 14793 Pinnacle Pl, Naples, FL 34119-4101 | 2016-09-19 |
| Find all providers in NAPLES | ||||
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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.