LEELAMMA SAMUEL (NPI# 1295120988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295120988 |
| Entity Type | Individual |
| Full Name | LEELAMMA SAMUEL |
| Practice Address |
10754 Sw 17th Pl Davie FL 33324-7157 |
| Practice Telephone | 9548735005 |
| Mailing Telephone | 9548735005 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS32209 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205122512 | Leelamma Samuel | Pediatrics | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2011-06-24 |
| Street Address |
10754 SW 17TH PL |
| City | DAVIE |
| State | FL |
| Zip Code | 33324-7157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1851904825 | Nikunjkumar R Movaliya | Pharmacist | 2600 S University Dr Apt 321, Davie, FL 33328-1467 | 2020-08-28 |
| 1902417702 | Julia Tam | Pharmacist | 31 Matador Ln, Davie, FL 33324-5537 | 2020-08-14 |
| 1215557251 | Ed Galen Nunez | Pharmacist | 10970 Cameron Ct Apt 204, Davie, FL 33324-4184 | 2020-04-20 |
| 1417590472 | Ngoc-anh Thi Chau | Pharmacist | 4324 Sw 72nd Way, Davie, FL 33314-3149 | 2019-10-22 |
| 1265081335 | Zahraa Adel Alalag | Pharmacist | 10910 Cameron Ct Apt 102, Davie, FL 33324-4165 | 2019-09-10 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1508377664 | Gissel Hermida | Pharmacist | 5851 Summerlake Dr Apt 304, Davie, FL 33314-3650 | 2017-10-17 |
| 1316493034 | Mohil Dharia | Pharmacist | 2920 Davie Road, Davie, FL 33314-4805 | 2016-09-01 |
| 1447630017 | Alicia Ianuzelli | Pharmacist | 6251 Palm Trace Landings Dr Apt 320, Davie, FL 33314-1884 | 2015-06-09 |
| 1306249222 | Pradeep Komarneni | Pharmacist | 6968 Sw 39th St, 301, Davie, FL 33314-2413 | 2014-10-06 |
| Find all providers in DAVIE | ||||
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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.