MISS ANDREA ELLEN BERGOICH (NPI# 1376642439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376642439 |
| Entity Type | Individual |
| Full Name | MISS ANDREA ELLEN BERGOICH |
| Credential | C.PH.T |
| Practice Address |
12402 Safeshelter Dr S Jacksonville FL 32225-1783 |
| Practice Telephone | 9045353480 |
| Mailing Telephone | 9045353480 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 250101030358003 | FL | Pharmacy Service Providers |
| Street Address |
12402 SAFESHELTER DR S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-1783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033750971 | Arielle Lakeita Bryant | Pharmacy Technician | 11048 N Campus Blvd, Jacksonville, FL 32218-6416 | 2019-10-02 |
| 1821639931 | Jeviel Latrish Davis | Pharmacy Technician | 1127 Caliente Dr, Jacksonville, FL 32211-8855 | 2019-10-01 |
| 1750922654 | Jowana T'pring Preston-gray | Pharmacy Technician | 8711 Newton Rd Apt 249, Jacksonville, FL 32216-7514 | 2019-10-01 |
| 1942550454 | Gillian Teresa Cain | Pharmacy Technician | 101 Fairfax Ct, Jacksonville, NC 28540-4092 | 2012-09-12 |
| 1821231952 | Ki'ana Kentece Glynn | Pharmacy Technician | 1446 Easter St, Jacksonville, FL 32211-5208 | 2009-04-20 |
| 1811141260 | Ordrey L Denton | Pharmacy Technician | 1812 Oakwood Apartments, 164, Jacksonville, AR 72076 | 2008-11-12 |
| 1265635619 | Eldina Sunjic | Pharmacy Technician | 7920 Los Robles Ct, Jacksonville, FL 32256-7718 | 2007-06-05 |
| 1639266497 | Lyudmila Chayka | Pharmacy Technician | 5909 University Blvd, Jacksonville, FL 32216 | 2006-10-05 |
| 1669570800 | Lenore Helen Huskey | Pharmacy Technician | 8226 Philips Hwy, Jacksonville, FL 32256-1240 | 2006-09-20 |
| 1962031286 | Debra Parker | Pharmacy Technician | 9962 Old Baymeadows Rd, Jacksonville, FL 32256-8103 | 2020-04-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
Please comment or provide details below to improve the information on MISS ANDREA ELLEN BERGOICH.
| 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.