AMY PHAN (NPI# 1356622559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356622559 |
| Entity Type | Individual |
| Full Name | AMY PHAN |
| Practice Address |
103 S Orange Ave Green Cove Springs FL 32043-4127 |
| Practice Telephone | 9045299156 |
| Practice Fax Number | 9045299108 |
| Mailing Telephone | 9045299156 |
| Mailing Fax Number | 9045299108 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS42207 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417595810 | Amy Phan | Pharmacist | 6840 Lincoln Ave, Riverside, CA 92506-4256 | 2019-12-16 |
| 1053874164 | Amy Jean Phan | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2019-04-08 |
| Street Address |
103 S ORANGE AVE |
| City | GREEN COVE SPRINGS |
| State | FL |
| Zip Code | 32043-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760609523 | Walgreen Co | Pharmacy | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2007-04-20 |
| 1447862016 | Linda M. Baldwin | Pharmacist | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2020-08-17 |
| 1578188702 | Truc Grace Phuong Nguyen | Pharmacist | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2020-06-12 |
| 1174804660 | Venkata Bellamkonda | Pharmacist | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863414 | Marica Thomas | Family Medicine | 476 Houston St, Green Cove Springs, FL 32043 | 2020-02-17 |
| 1992278501 | Corinne Jackson | Occupational Therapy Assistant | North Pavilion Place, Penney Farms, FL 32043 | 2019-01-07 |
| 1184129744 | Gianina Romito | Speech-Language Pathologist | Gov. Creek Health and Rehab, 803 Oak Street, Green Cove Springs, FL 32043 | 2018-03-27 |
| 1992157549 | Blake Wells | Physical Therapy Assistant | 803 Oak Street, Green Cove Springs, FL 32043 | 2016-07-07 |
| 1831443290 | Barbara J Mcdougall, Psyd, Pa | Psychologist | 623 Oak Street, Green Cove Springs, FL 32043 | 2012-11-06 |
| 1124376629 | William P Yapp Dc Pa | Chiropractor | 1212 Idlewild Ave. (hwy 16w), Green Cove Springs, FL 32043 | 2012-08-15 |
| 1053551481 | Angela Carol Bramlitt | Registered Nurse | 311 Morris Avenue, Green Cove Springs, FL 32043 | 2009-02-25 |
| 1760602718 | John Michael Aimino | Optometrist | 2364 Jennie Lane, Green Cove Springs, FL 32043 | 2007-05-01 |
| 1386763779 | Mayhugh Drugs Inc | Pharmacy | 200 B South Orange Ave, Green Cove Springs, FL 32043 | 2007-03-28 |
| 1598037988 | Kristi Resse Williams | Occupational Therapist | 803 Oak St, Green Cove Springs, FL 32043 | 2012-02-01 |
| Find all providers in zip 32043 | ||||
| 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 |
|---|---|---|---|---|
| 1275814303 | Diane Marie Tolosky | Pharmacist | 1305 N Orange Ave Ste 120-123, Green Cove Springs, FL 32043-2547 | 2011-09-02 |
| 1649342973 | Diane Ellen Forhan | Pharmacist | 2851 Henley Rd Ste 200, Green Cove Springs, FL 32043-7206 | 2006-11-14 |
| 1447862016 | Linda M. Baldwin | Pharmacist | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2020-08-17 |
| 1578188702 | Truc Grace Phuong Nguyen | Pharmacist | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2020-06-12 |
| 1174804660 | Venkata Bellamkonda | Pharmacist | 103 S Orange Ave, Green Cove Springs, FL 32043-4127 | 2011-08-29 |
| 1073806402 | Lawrence Matthew Smith | Pharmacist | 2851 Henley Rd, Green Cove Springs, FL 32043-7204 | 2011-05-18 |
| 1578897658 | Nathan Tillis | Pharmacist | 2851 Henley Rd, Winn Dixie, Green Cove Springs, FL 32043-7204 | 2009-09-23 |
| 1417091976 | Norma S. Kempton | Pharmacist | 3260 Highway 17, Green Cove Springs, FL 32043-9364 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | GREEN COVE SPRINGS |
| Zip Code | 32043 |
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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.