MOHAMED SALEH DISPENSARY (NPI# 1518130590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518130590 |
| Entity Type | Organization |
| Organization Name | MOHAMED SALEH DISPENSARY |
| Practice Address |
1408 San Marco Blvd Jacksonville FL 32207-8536 |
| Mailing Address |
2301 W Sample Rd Suite 7a Pompano Beach FL 33073-3081 |
| Practice Telephone | 9043980009 |
| Practice Fax Number | 9043460887 |
| Mailing Telephone | 9549356063 |
| Mailing Fax Number | 9549350470 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MS. CICELY EASON (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Telephone | 9549356063 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHYSICIAN'S CHOICE DISPENSING SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | ME43827 | FL | Suppliers |
| Street Address |
1408 SAN MARCO BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528010923 | Center for Medicine and Psychiatry | Psychiatry & Neurology | 1408 San Marco Blvd, Jacksonville, FL 32207-8536 | 2006-05-16 |
| 1679727101 | Gwendolyn V Shootes | Physician Assistant | 1408 San Marco Blvd, Jacksonville, FL 32207-8536 | 2008-11-11 |
| 1063612778 | Erica L Rudy | Psychologist | 1408 San Marco Blvd, Jacksonville, FL 32207-8536 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033626122 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 3059 Edgewood Avenue West, Jacksonville, FL 32209 | 2018-01-10 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1306033915 | Linear Rx, Inc | Non-Pharmacy Dispensing Site | 3333 Hendricks Ave, Jacksonville, FL 32207-5301 | 2007-09-27 |
| 1932680469 | Florida Physician Specialists LLC | Non-Pharmacy Dispensing Site | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2018-08-23 |
| 1114434206 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 6841 Blanding Blvd, Jacksonville, FL 32244 | 2018-01-10 |
| 1124531082 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 1000 W Morton Ave, Jacksonville, IL 62650-3152 | 2017-11-14 |
| 1972969756 | Southeast Orthopedic Specialists, Inc | Non-Pharmacy Dispensing Site | 2627 Riverside Ave, Suite 300, Jacksonville, FL 32204-4712 | 2016-01-08 |
| 1053776468 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 15255 Max Leggett Pkwy, 5th Floor, Jacksonville, FL 32218-7273 | 2015-12-30 |
| 1275998908 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2015-12-23 |
| 1295105310 | Podiatry Associates of Florida, Inc. | Non-Pharmacy Dispensing Site | 1914 Southside Blvd, #1, Jacksonville, FL 32216-1996 | 2015-10-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on MOHAMED SALEH DISPENSARY.
| 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.