MR. DOUGLAS KEITH ECKLUND (NPI# 1578794657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578794657 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS KEITH ECKLUND |
| Credential | RPH |
| Practice Address |
921 Oxford Dr Saint Augustine FL 32084-1826 |
| Practice Telephone | 9415396841 |
| Mailing Telephone | 9415396841 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS24529 | FL | Pharmacy Service Providers |
| Street Address |
921 OXFORD DR |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32084-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| 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 |
|---|---|---|---|---|
| 1386294908 | Joshua Cline | Pharmacist | 372 Ocean Cay Blvd, Saint Augustine, FL 32080-5891 | 2019-09-16 |
| 1104397298 | Barbara Marie Bish | Pharmacist | 87 Douglas Ave, Saint Augustine, FL 32084-1227 | 2018-12-16 |
| 1780195826 | Khushbu Mistry | Pharmacist | 4255 Us 1 S, Saint Augustine, FL 32086-7046 | 2017-10-16 |
| 1881068161 | Joshua Patrick Longstreet | Pharmacist | 11 13th St, Saint Augustine, FL 32080-3849 | 2015-11-24 |
| 1245590645 | Roger B Woolwine | Pharmacist | 3745 Winterhawk Ct, Saint Augustine, FL 32086-5571 | 2012-05-21 |
| 1437420049 | Jeron Stokes | Pharmacist | 501 Stonebridge Path Ct, Saint Augustine, FL 32092-1070 | 2012-01-13 |
| 1396943429 | Lynn Zwiercan Dompe | Pharmacist | 3670 Us Highway 1 S Ste 120, Saint Augustine, FL 32086-6354 | 2007-07-10 |
| 1326027764 | Olga M. Bellicini | Pharmacist | 55 Ava Way, Saint Augustine, FL 32084-7046 | 2006-01-13 |
| 1871146696 | Edward Allard | Pharmacist | 125 Jenkins St, Saint Augustine, FL 32086-5167 | 2019-07-21 |
| 1346797735 | Jessie Blalock | Pharmacist | 2801 N Ponce De Leon Blvd, Saint Augustine, FL 32084-1648 | 2016-09-02 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32084 |
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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.