VICTOR PEGUERO PEREZ (NPI# 1386200988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386200988 |
| Entity Type | Individual |
| Full Name | VICTOR PEGUERO PEREZ |
| Credential | RPH |
| Practice Address |
4501 13th St Saint Cloud FL 34769-6742 |
| Mailing Address |
3013 Ballad Rd Kissimmee FL 34746-2051 |
| Practice Telephone | 4079572600 |
| Mailing Telephone | 7875250132 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PS54757 | FL | Pharmacy Service Providers |
| Street Address |
4501 13TH ST |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-6742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073528105 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4501 13th St, Saint Cloud, FL 34769-6742 | 2006-07-29 |
| 1063010858 | Haidy Tadros | Pharmacist | 4501 13th St, Saint Cloud, FL 34769-6742 | 2020-10-13 |
| 1346526399 | Michael John Reidelbach | Pharmacist | 4501 13th St, Saint Cloud, FL 34769-6742 | 2011-10-21 |
| 1184908972 | Sonal Patel | Pharmacist | 4501 13th St, Saint Cloud, FL 34769-6742 | 2011-09-28 |
| 1063793651 | Melissa Anne Page Crow | Pharmacist | 4501 13th St, Saint Cloud, FL 34769-6742 | 2011-09-08 |
| 1760676753 | Eileen Bauman | Nurse Practitioner | 4501 13th St, Saint Cloud, FL 34769-6742 | 2007-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063074235 | Briana Gray | Pharmacist | 1200 6th Ave N, Internal Medicine, Saint Cloud, MN 56303-2735 | 2019-07-08 |
| 1629630488 | Tyler John Stevens | Pharmacist | 1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913 | 2019-07-02 |
| 1912483363 | Jenna Rae Gullickson | Pharmacist | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2018-07-18 |
| 1346736261 | Nathan Beckman | Pharmacist | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209587 | Tonia Michelle Murray | Pharmacist | 7820 111th Ter E, Parrish, FL 34219-2830 | 2020-03-11 |
| 1447814785 | Julie Marie Pippins | Pharmacist | 806 Ocean Front, Neptune Beach, FL 32266-6057 | 2019-04-23 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1255809943 | Sarah Powers | Pharmacist | 3804 65th Ave E, Sarasota, FL 34243-7923 | 2018-11-12 |
| 1124595061 | Stefan Correa | Pharmacist | 9498 S.orange Blossom Trl, Orlando, FL 32837-8326 | 2018-10-29 |
| 1811475130 | Kwame Kyerematen-afrani | Pharmacist | 6266 S Congress Ave Ste L12, Lantana, FL 33462-2365 | 2018-07-30 |
| 1548773906 | Leslie Alteri | Pharmacist | 1973 Wild Lime Dr, Sanibel, FL 33957-2403 | 2017-11-08 |
| 1093254708 | Toni Elkach | Pharmacist | 13124 Winfield Scott Blvd, Orlando, FL 32837-4007 | 2017-02-14 |
| 1619329810 | Curtis Hearn | Pharmacist | 2113 W Lakeview Blvd, N Fort Myers, FL 33903-5813 | 2016-07-12 |
| 1629437165 | Shameik Brooks | Pharmacist | 655 W 8th St # C-89, Jacksonville, FL 32209-6511 | 2016-02-11 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
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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.