DR. CHRISTOPHER JOHN KIERNAN III (NPI# 1326650615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326650615 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER JOHN KIERNAN III |
| Credential | PHARM.D. |
| Practice Address |
5420 9th St N St Petersburg FL 33703-1202 |
| Practice Telephone | 7275265769 |
| Practice Fax Number | 7275260899 |
| Mailing Telephone | 7275265769 |
| Mailing Fax Number | 7275260899 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS57184 | FL | Pharmacy Service Providers |
| Street Address |
5420 9TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083699391 | Deborah J Larison | Pharmacist | 5420 9th St N, St Petersburg, FL 33703-1202 | 2005-12-08 |
| 1508137415 | Terri Ann Bear | Pharmacist | 5420 9th St N, St Petersburg, FL 33703-1202 | 2012-01-24 |
| 1811267701 | Jason Edward Smith | Pharmacist | 5420 9th St N, St Petersburg, FL 33703-1202 | 2012-01-09 |
| 1396750576 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5420 9th St N, St Petersburg, FL 33703-1202 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| 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 |
|---|---|---|---|---|
| 1609407857 | Patricia Eleni Pajak | Pharmacist | 2000 75th St N, St Petersburg, FL 33710-4639 | 2020-01-27 |
| 1174153928 | Bisma Khan | Pharmacist | 695 Central Ave Ste 203, St Petersburg, FL 33701-3662 | 2020-01-21 |
| 1336673557 | Christine H Hayes | Pharmacist | 711 29th Ave N, St Petersburg, FL 33704-2016 | 2017-04-13 |
| 1740725548 | Gregory Cerio | Pharmacist | 11001 Roosevelt Blvd N, Suite 1400, St Petersburg, FL 33716-2354 | 2017-01-03 |
| 1851768246 | Lisa Jonay Rowe Delancy | Pharmacist | 1818 Caesar Way S, St Petersburg, FL 33712-4220 | 2015-09-01 |
| 1932593183 | Bhavesh Patel | Pharmacist | 2480 13th Ave N, Apt#110, St Petersburg, FL 33713-5853 | 2015-03-26 |
| 1295127587 | June Kicklighter Peterman | Pharmacist | 2435 Granada Cir E, St Petersburg, FL 33712-3917 | 2015-02-24 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1326444670 | Wesley Price | Pharmacist | 1009 7th Ave N # 1, St Petersburg, FL 33705-1307 | 2014-11-14 |
| 1164839510 | Tyler Harris | Pharmacist | 11880 28th St N Ste 100, St Petersburg, FL 33716-1824 | 2014-07-17 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on DR. CHRISTOPHER JOHN KIERNAN III.
| 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.