MS. TAMARA LEIGH NICKERSON (NPI# 1275750622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275750622 |
| Entity Type | Individual |
| Full Name | MS. TAMARA LEIGH NICKERSON |
| Credential | CPHT |
| Practice Address |
31100 Cortez Blvd Brooksville FL 34602-7548 |
| Mailing Address |
5071 Chamber Ct Spring Hill FL 34609-1608 |
| Practice Telephone | 3527545154 |
| Practice Fax Number | 3527545215 |
| Mailing Telephone | 3526882461 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 240101021141513 | FL | Pharmacy Service Providers |
| Street Address |
31100 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34602-7548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295756500 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 31100 Cortez Blvd, Brooksville, FL 34602-7548 | 2006-07-21 |
| 1003048729 | Arif Remtullah | Pharmacist | 31100 Cortez Blvd, Brooksville, FL 34602-7548 | 2009-08-13 |
| 1356475503 | Shahida Amar | Pharmacist | 31100 Cortez Blvd, Brooksville, FL 34602-7548 | 2007-03-16 |
| 1669501623 | Harry Hamilton Henwood | Pharmacist | 31100 Cortez Blvd, Brooksville, FL 34602-7548 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669975868 | Tachara Stanton | Behavioral Analyst | 30958 Water Lily Dr, Brooksville, FL 34602 | 2018-03-14 |
| 1629290721 | Leslie Foster Home | Custodial Care Facility | 4063 Baseball Pond Road, Brooksville, FL 34602 | 2007-05-02 |
| 1255343901 | Guillermo Mantilla Cadena | Psychiatry & Neurology | 22770 Skyview Cir, Brooksville, FL 34602-3106 | 2006-08-12 |
| 1407218092 | Foundations Foot and Ankle LLC | Podiatrist | 22319 Powell Rd, Brooksville, FL 34602-5705 | 2016-03-23 |
| 1699807982 | Thomas S. Hogan Sr. | Pharmacist | 22331 Powell Rd, Brooksville, FL 34602-5705 | 2007-03-12 |
| 1720634645 | Cassandrea Marie Bloxsom-joiner | Behavior Technician | 1211 Culbreath Rd, Brooksville, FL 34602-6003 | 2019-08-15 |
| 1114431194 | Beket Lott | Counselor | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2017-11-28 |
| 1194891929 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2006-11-24 |
| 1982773024 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 397 Culbreath Rd, Brooksville, FL 34602-6019 | 2006-11-06 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers in zip 34602 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679697940 | Robin Lynn Smith | Pharmacy Technician | 1230 S Broad St, Brooksville, FL 34601-3132 | 2007-03-19 |
| 1578762233 | Miriam Woosley | Pharmacy Technician | 1230 S Broad St, Brooksville, FL 34601-3132 | 2007-07-13 |
| 1417073230 | Helen Lorraine Sartin | Pharmacy Technician | 7305 Broad St, Wal-mart, Brooksville, FL 34602-7548 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820234 | Roderick John Yulo Palma | Pharmacy Technician | 10538 Sw 16th St, Pembroke Pines, FL 33025-4784 | 2020-10-28 |
| 1700408374 | Andre Spencer | Pharmacy Technician | 5400 Nw 175th St, Miami Gardens, FL 33055-3541 | 2020-05-17 |
| 1295356509 | Kahkashan Fatimah | Pharmacy Technician | 8801 Hunters Lake Dr Apt 223, Tampa, FL 33647-2850 | 2020-04-28 |
| 1649803057 | Jenisse Quintela Lozano | Pharmacy Technician | 2108 W 53rd St, Hialeah, FL 33016-2031 | 2020-02-14 |
| 1528604717 | Bianca Apollon | Pharmacy Technician | 517 Okaloosa St Unit 1, Tallahassee, FL 32310-5424 | 2019-11-21 |
| 1033750971 | Arielle Lakeita Bryant | Pharmacy Technician | 11048 N Campus Blvd, Jacksonville, FL 32218-6416 | 2019-10-02 |
| 1821639931 | Jeviel Latrish Davis | Pharmacy Technician | 1127 Caliente Dr, Jacksonville, FL 32211-8855 | 2019-10-01 |
| 1750922654 | Jowana T'pring Preston-gray | Pharmacy Technician | 8711 Newton Rd Apt 249, Jacksonville, FL 32216-7514 | 2019-10-01 |
| 1487205654 | Tiera Chisolm | Pharmacy Technician | 1704 Mary Beth Dr, Middleburg, FL 32068-7833 | 2019-09-27 |
| 1306492434 | Ashlynn Da Silva | Pharmacy Technician | 2 N Us Highway 17 92, Debary, FL 32713-2506 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34602 |
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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.