MR. JEFFREY LYNN GUTH (NPI# 1295073591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295073591 |
Entity Type | Individual |
Full Name | MR. JEFFREY LYNN GUTH |
Credential | BSPHARM |
Practice Address |
1425 Malabar Rd Ne Palm Bay FL 32907-2506 |
Practice Telephone | 3214348048 |
Practice Fax Number | 3214348108 |
Mailing Telephone | 3214348048 |
Mailing Fax Number | 3214348108 |
Enumeration Date | 2013-01-21 |
Last Update Date | 2013-01-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PS18345 | FL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154955409 | Jeffrey Guth | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-02-25 |
Street Address |
1425 MALABAR RD NE |
City | PALM BAY |
State | FL |
Zip Code | 32907-2506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265439616 | Karen Jeanette Bills | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2005-06-30 |
1215554746 | Dawn Ann Stewart-brown | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-06-30 |
1780223230 | Samantha Kraus | Social Worker | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-01-02 |
1811480643 | Michael William Stainton | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2018-06-06 |
1811404866 | Ingrid A Lovelace-joseph | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2017-12-29 |
1205364478 | Amy Lynn Hibbard | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2017-05-31 |
1114380821 | Merle Lewis | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2016-03-30 |
1376955682 | Hussien A Ballout | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907 | 2014-05-21 |
1881027068 | Pinkesh B Prajapati | Hospitalist | 1425 Malabar Rd Ne, Palm Bay, FL 32907 | 2013-08-12 |
1003255019 | Anthony Jay Herzog | Hospitalist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2013-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
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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 |
---|---|---|---|---|
1003395955 | Fidelis Ifeanyi Ezewike Jr. | Pharmacist | 2034 Palm Place Dr Ne, Palm Bay, FL 32905-3960 | 2018-08-11 |
1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
1164707790 | Thiennga Huynh Vo | Pharmacist | 175 Malabard Rd Nw, Palm Bay, FL 32907 | 2011-10-14 |
1750673596 | Ankur A Shah | Pharmacist | 930 Malabar Rd Se Ste 1, Palm Bay, FL 32907-3252 | 2011-05-12 |
1588972947 | Noah J Wolkenstein | Pharmacist | 285 Olsmar St Sw, Palm Bay, FL 32908-1313 | 2010-09-20 |
1679899132 | Heidi Smith | Pharmacist | 4711 Babcock St Ne Ste 1, Palm Bay, FL 32905-2805 | 2010-04-08 |
1881803252 | Katie Helen Linton | Pharmacist | 334 Alberca St Nw, Palm Bay, FL 32907-1829 | 2007-05-22 |
1790886166 | Michael Blake Aldridge | Pharmacist | 5270 Babcock St Ne Ste 120, Palm Bay, FL 32905-8630 | 2006-09-26 |
1861420168 | Steve P Albert | Pharmacist | 1101 Malabar Rd Ne, Palm Bay, FL 32907-3261 | 2006-06-28 |
1265439616 | Karen Jeanette Bills | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2005-06-30 |
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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.