DR. MICHAEL SAINT ANTONIO AUGUSTINE (NPI# 1346622180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346622180 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SAINT ANTONIO AUGUSTINE |
| Credential | PHARM.D. |
| Practice Address |
3415 W Lake Mary Blvd Box 951261 Lake Mary FL 32795-7501 |
| Practice Telephone | 4072557121 |
| Mailing Telephone | 4072557121 |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2015-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS42032 | FL | Pharmacy Service Providers |
| Street Address |
3415 W LAKE MARY BLVD BOX 951261 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32795-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473424 | Yesenia Hernandez | Behavior Technician | 3451 W Lake Mary Blvd, Lake Mary, FL 32795 | 2020-06-26 |
| 1518097633 | Robert Saxman Cunningham Jr. | Chiropractor | 149 Estates Circle, Lake Mary, FL 32795 | 2007-03-07 |
| 1750847463 | Thomas Dylan Butler | Behavior Technician | 3415 W Lake Mary Blvd # 4045, Lake Mary, FL 32795-7501 | 2019-02-18 |
| 1053918581 | Evaleonor Tiffany Taylor | Behavioral Analyst | 3415 W Lake Mary Blvd # 4045, Lake Mary, FL 32795-7501 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436680 | Richard Ta | Pharmacist | 3687 Farm Bell Pl, Lake Mary, FL 32746-4107 | 2020-10-27 |
| 1710586102 | Holleigh Lynette Walker | Behavior Technician | 300 International Parkway Suite 200, 300 International Parkway Suite 200, Lake Mary, FL 32746-3625 | 2020-10-18 |
| 1194332288 | Karen H Cloninger | Counselor | 122 N 4th St Ste 2006, Lake Mary, FL 32746-2944 | 2020-09-23 |
| 1083227102 | Caroline Celine Miller | Nurse Practitioner | 517 Pickfair Ter, Lake Mary, FL 32746-5814 | 2020-08-28 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| 1407473424 | Yesenia Hernandez | Behavior Technician | 3451 W Lake Mary Blvd, Lake Mary, FL 32795 | 2020-06-26 |
| 1902422090 | Eric Dustin Brisbon | Behavior Technician | 200 Waymont Ct Ste 122, Lake Mary, FL 32746-3413 | 2020-06-24 |
| 1710503495 | Stefanie Allison Quinones | Registered Nurse | 199 Main Rd, Lake Mary, FL 32746-3996 | 2020-06-18 |
| 1629693965 | Danielle Silva | Nurse Practitioner | 725 Primera Blvd Ste 140, Lake Mary, FL 32746-2130 | 2020-06-12 |
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| Find all providers in LAKE MARY | ||||
| 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 |
|---|---|---|---|---|
| 1205436680 | Richard Ta | Pharmacist | 3687 Farm Bell Pl, Lake Mary, FL 32746-4107 | 2020-10-27 |
| 1518510627 | Erin Bailey | Pharmacist | 45 Skyline Dr Ste 1011, Lake Mary, FL 32746-6224 | 2019-07-17 |
| 1891243465 | Nicholas Tidwell | Pharmacist | 1521 Oberlin Ter, Lake Mary, FL 32746-5937 | 2016-09-13 |
| 1457725194 | Tawfeles Abdelnour | Pharmacist | 732 Secret Harbor Ln Unit 202, Lake Mary, FL 32746-6517 | 2015-11-18 |
| 1427305382 | Theresa Marie Behanna | Pharmacist | 745 Creekwater Ter Apt 113, Lake Mary, FL 32746-6713 | 2012-08-10 |
| 1730316704 | Lien Thuy Pham | Pharmacist | 550 Technology Park, Suite 1000, Lake Mary, FL 32746-7131 | 2009-06-17 |
| 1497927586 | Gretchen M Mcdowell | Pharmacist | 100 Technology Park Ste 155, Lake Mary, FL 32746-6205 | 2008-03-28 |
| 1891772364 | Susan Balkaran | Pharmacist | 100 Technology Park Ste 100, Lake Mary, FL 32746-6298 | 2005-12-27 |
| 1164419891 | Roger Richard Gumtow | Pharmacist | 100 Technology Pkwy, Lake Mary, FL 32746-6297 | 2005-09-27 |
| 1861488728 | Deborah S Pechacek | Pharmacist | 100 Technology Park, Lake Mary, FL 32746-6205 | 2005-09-26 |
| Find all providers in LAKE MARY | ||||
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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.