MR. RONALD W PELHAM (NPI# 1568644839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568644839 |
| Entity Type | Individual |
| Full Name | MR. RONALD W PELHAM |
| Credential | R.CPH. |
| Practice Address |
16555 Nw 25th Ave Opa Locka FL 33054-6583 |
| Practice Telephone | 7864661625 |
| Practice Fax Number | 7864661754 |
| Mailing Telephone | 7864661625 |
| Mailing Fax Number | 7864661754 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PU3188 | FL | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
17657 | FL | Pharmacy Service Providers |
| Street Address |
16555 NW 25TH AVE |
| City | OPA LOCKA |
| State | FL |
| Zip Code | 33054-6583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848015 | Kelvin Dexter Trocard | Pharmacist | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2005-08-12 |
| 1114381183 | Mercedes Rita Garcia | Obstetrics & Gynecology | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2016-04-06 |
| 1134399579 | Andrea Dortch Thomas | Clinic/Center | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2008-02-29 |
| 1063696714 | Alvena S Johnson | Pharmacist | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2007-12-18 |
| 1164596003 | Public Health Trust of Dade County Florida | Clinic/Center | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-11-20 |
| 1437223856 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-11-17 |
| 1295806016 | Public Health Trust of Dade County Florida | Pharmacy | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-11-13 |
| 1245264225 | Ana M Sanchez-medio | Social Worker | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-07-10 |
| 1366471864 | Hernaldo Nunez | Family Medicine | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-06-30 |
| 1629005624 | Isabel Cordoba Reyes | Pediatrics | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770148611 | Arc Dialysis North Dade LLC | Clinic/Center | 1986 Opa Locka Blvd, Opa Locka, FL 33054 | 2019-05-07 |
| 1497215735 | Empowering Minds, Inc | Community/Behavioral Health | 13311 Alexandria Dr, Opa Locka, FL 33054 | 2019-03-22 |
| 1366976672 | Center for Family and Child Enrichment Inc. | Community/Behavioral Health | 3999 Northwest 163st, Miami, FL 33054 | 2017-04-13 |
| 1861924748 | Yudeslanni Fernandez Lang | Behavior Technician | 2970 Nw 161 St, Miami, FL 33054 | 2017-03-30 |
| 1811439862 | Ana Alfaro | Behavior Technician | 1155 Kasin St, Opa Locka, FL 33054 | 2016-11-08 |
| 1114376795 | Yanelis Diaz Rodriguez | Behavior Technician | 13920 Nw 22nd Pl, Opa Locka, FL 33054 | 2016-06-06 |
| 1912392986 | Angel Yasiel Ramos | Internal Medicine | 1986 Opa-locka Boulevard, Opa-locka, FL 33054 | 2015-04-06 |
| 1992109409 | Taylor Wilmoth | Specialist/Technologist | 15600 Nw 32nd Avenue, Attn: Taylor Wilmoth, Miami, FL 33054 | 2014-10-13 |
| 1265844997 | J.s Rx Inc | Pharmacy | 1970 Opa Locka Blvd, Opa Locka, FL 33054 | 2014-05-29 |
| 1689877508 | Nuevo Renacer Alf,corp. | Assisted Living Facility | 540 N. Perviz Avenue, Opa Locka, FL 33054 | 2007-06-07 |
| Find all providers in zip 33054 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542972 | Julia Brown | Pharmacist | 3729 S Suncoast Blvd, Homosassa, FL 34448 | 2020-09-10 |
| 1871107771 | Monnette Coppola | Pharmacist | 2907 W Winthrop Rd, Tampa, FL 33611-4040 | 2020-09-08 |
| 1669082194 | Cindy Marie Padilla | Pharmacist | 600 S Dixie Hwy Apt 537, West Palm Beach, FL 33401-5852 | 2020-08-10 |
| 1861017592 | Managed Care Med Solutions, Inc | Pharmacist | 1436 Mendavia Ave, Coral Gables, FL 33146-1608 | 2020-06-09 |
| 1124647995 | Christian Calderon | Pharmacist | 4337 Nw 29th Way, Gainesville, FL 32605-1521 | 2020-04-13 |
| 1174156996 | Gwyneth Gordon | Pharmacist | 9650 Millpond Rd, Miramar, FL 33025-3826 | 2020-02-20 |
| 1285272237 | Thuy Thu Nguyen | Pharmacist | 11334 Nw 79th Mnr, Parkland, FL 33076-4811 | 2019-12-19 |
| 1982242038 | Tammy Kay Domanico | Pharmacist | 1500 N Ocean Blvd Apt 801, Pompano Beach, FL 33062-3438 | 2019-12-18 |
| 1255975660 | David Scott Ziska | Pharmacist | 9234 Brindlewood Drive, Odessa, FL 33556-3154 | 2019-10-30 |
| 1841847993 | Duane David Ashe | Pharmacist | 8848 Hampden Dr, Tampa, FL 33626-2935 | 2019-08-23 |
| Find all providers with the same taxonomy | ||||
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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.