MR. JEREMY ZELLERS (NPI# 1366818080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366818080 |
| Entity Type | Individual |
| Full Name | MR. JEREMY ZELLERS |
| Credential | RPH |
| Practice Address |
700 Se 3rd Ave Fl 4 Fort Lauderdale FL 33316-1139 |
| Mailing Address |
2307 Ne 16th Ave Wilton Manors FL 33305-2405 |
| Practice Telephone | 9545223132 |
| Mailing Telephone | 2023217290 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202208360 | VA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP044100L | PA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS47646 | FL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH3314 | DC | Pharmacy Service Providers |
| Street Address |
700 SE 3RD AVE FL 4 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801993068 | Frances Martinez | Internal Medicine | 700 Se 3rd Ave Fl 4, Fort Lauderdale, FL 33316-1139 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| 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 |
|---|---|---|---|---|
| 1225649940 | Roberto Carlos Campbell | Pharmacist | 4821 Sw 43rd Ter, Fort Lauderdale, FL 33314-5636 | 2020-08-14 |
| 1578171278 | Tina Louise Gellman | Pharmacist | 3011 Ne 40th St, Fort Lauderdale, FL 33308-5829 | 2020-07-19 |
| 1093283723 | Matthew David Simpson | Pharmacist | 919 Ne 13th St Rm 244, Fort Lauderdale, FL 33304-2009 | 2018-11-12 |
| 1467851949 | Aaron Trujillo | Pharmacist | 2445 Sw 18th Ter Apt 405, Fort Lauderdale, FL 33315-2237 | 2014-08-20 |
| 1083032353 | Jeffrey Boudette | Pharmacist | 7667 Grant St, Fort Lauderdale, FL 33301-2331 | 2014-04-02 |
| 1356774699 | Alicia Kay Bernstein | Pharmacist | 3333 Ne 34th St, Unit 1317, Fort Lauderdale, FL 33308-6948 | 2013-08-09 |
| 1215275896 | Anllel Alfonso | Pharmacist | 1320 N Dixie Hwy Apt 10, Fort Lauderdale, FL 33304-4762 | 2013-01-16 |
| 1548504434 | Krystal Salsburg | Pharmacist | 1021 Sw 18th St, Fort Lauderdale, FL 33315-1915 | 2012-11-16 |
| 1619244407 | Anil Yousaf | Pharmacist | 5101 Nw 21st Ave Ste 520-530, Fort Lauderdale, FL 33309-2792 | 2011-11-21 |
| 1982988598 | Georgia Lenpzos Lehoczky | Pharmacist | 5101 Nw 21st Avenue, Fort Lauderdale, FL 33309 | 2011-09-30 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.