MRS. RUSSELL KARL STOLTMANN (NPI# 1477835148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477835148 |
| Entity Type | Individual |
| Full Name | MRS. RUSSELL KARL STOLTMANN |
| Credential | RPH |
| Practice Address |
280 Sw Port St Lucie Blvd Port St Lucie FL 34984-5044 |
| Practice Telephone | 7728786353 |
| Practice Fax Number | 7728784967 |
| Mailing Telephone | 7728786353 |
| Mailing Fax Number | 7728784967 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS 27057 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACY LISCENSE | PS 27057 | 01 |
| Street Address |
280 SW PORT ST LUCIE BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34984-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720093958 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 280 Sw Port St Lucie Blvd, Port St Lucie, FL 34984-5044 | 2006-07-29 |
| 1801179221 | Stephanie T Dunbar | Pharmacist | 280 Sw Port St Lucie Blvd, Port St Lucie, FL 34984-5044 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
| 1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
| 1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
| 1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
| 1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
| 1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
| 1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
| 1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
| 1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
| 1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
| Find all providers in zip 34984 | ||||
| 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 |
|---|---|---|---|---|
| 1417404898 | Chad Jarvis | Pharmacist | 2241 Se Heathwood Cir, Port St Lucie, FL 34952-6927 | 2016-09-02 |
| 1063883528 | Eusra Rahat Shams | Pharmacist | 4175 Sw Macad St, Port St Lucie, FL 34953-3152 | 2015-10-09 |
| 1295136331 | Nadera Jacob | Pharmacist | 4438 Sw Babylon St, Port St Lucie, FL 34953-6527 | 2014-09-09 |
| 1174924575 | Kristen Conner | Pharmacist | 1551 Sw Apricot Rd, Port St Lucie, FL 34953-4335 | 2014-09-04 |
| 1750709804 | Rx Navigation LLC | Pharmacist | 2019 Sw Aaron Ln, Port St Lucie, FL 34953-2104 | 2014-04-04 |
| 1922440700 | Karen Petula Purkiss | Pharmacist | 2308 Sw Valnera St, Port St Lucie, FL 34953-2431 | 2013-07-23 |
| 1679810329 | John M Fitzgerald | Pharmacist | 5473 Ne St James Dr, Port St Lucie, FL 34983 | 2013-01-14 |
| 1346587391 | Michelle Elaine Lavere | Pharmacist | 4226 Sw Utterback St, Port St Lucie, FL 34953-6854 | 2013-01-10 |
| 1861775967 | Glenn J Fronczkowski | Pharmacist | 2738 Se Eagle Dr, Port St Lucie, FL 34984-8913 | 2011-09-25 |
| 1366724031 | Jimmy Kyiwin Kabir | Pharmacist | 826 Sw Lake Charles Cir, Port St Lucie, FL 34986-3418 | 2011-09-19 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34984 |
Please comment or provide details below to improve the information on MRS. RUSSELL KARL STOLTMANN.
| 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.