MR. LARRY MAURICE BURGESS (NPI# 1528409141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528409141 |
| Entity Type | Individual |
| Full Name | MR. LARRY MAURICE BURGESS |
| Credential | RPH |
| Practice Address |
245 S Lake Dr Lehigh Acres FL 33936-7054 |
| Practice Telephone | 8632730871 |
| Mailing Telephone | 8632730871 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 08337 | NC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PU 3512 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS23032 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164648267 | Larry Winston Burgess | Dentist | 10700 Kuykendahl Rd Ste E, The Woodlands, TX 77381 | 2007-04-17 |
| 1083235733 | Larry Alden Burgess | Massage Therapist | 208 Ne Barry Rd, Kansas City, MO 64155-2722 | 2020-05-05 |
| Street Address |
245 S LAKE DR |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-7054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| 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 |
|---|---|---|---|---|
| 1962979047 | Dhoha Zekri | Pharmacist | 1605 Mcarthur Ave, Lehigh Acres, FL 33972-1721 | 2018-10-26 |
| 1114382710 | Nirav Pravinbhai Patel | Pharmacist | 1440 Lee Blvd, Lehigh Acres, FL 33936-4850 | 2015-12-23 |
| 1871984385 | Liana Derringer | Pharmacist | 4608 Varsity Cir, Lehigh Acres, FL 33971-2061 | 2015-02-05 |
| 1396167342 | Aji Kannamala | Pharmacist | 1145 Homestead Rd, Lehigh Acres, Lehigh Acres, FL 33976 | 2014-01-10 |
| 1235578204 | Peter Vladimer Skrmetta IIi | Pharmacist | 11021 River Trent Ct, Lehigh Acres, FL 33971-3739 | 2013-06-22 |
| 1396015798 | Frusnel Augustin | Pharmacist | 8246 Silver Birch Way, Lehigh Acres, FL 33971-3718 | 2012-01-03 |
| 1417146861 | Paul Leon Garneau | Pharmacist | 1517 Honor Ct, Lehigh Acres, FL 33971-2036 | 2007-10-22 |
| 1285750349 | Steven Benjamin Bromley | Pharmacist | 248 Bethany Home Dr, Lehigh Acres, FL 33936-7565 | 2007-03-21 |
| 1063542041 | Anna A Pagliaro | Pharmacist | 61 Bell Blvd N, Lehigh Acres, FL 33936-6415 | 2007-03-07 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| Find all providers in LEHIGH ACRES | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
Please comment or provide details below to improve the information on MR. LARRY MAURICE BURGESS.
| 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.