TODD WHITEHEAD (NPI# 1578800611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578800611 |
| Entity Type | Individual |
| Full Name | TODD WHITEHEAD |
| Practice Address |
2875 University Blvd W Jacksonville FL 32217-2116 |
| Practice Telephone | 9047607589 |
| Practice Fax Number | 9041737448 |
| Mailing Telephone | 9047607589 |
| Mailing Fax Number | 9041737448 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | ME031004 | FL | Pharmacy Service Providers |
| Street Address |
2875 UNIVERSITY BLVD W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770813560 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2875 University Blvd W, Jacksonville, FL 32217-2116 | 2009-12-30 |
| 1538777966 | Victoria Kay Lavine | Pharmacist | 2875 University Blvd W, Jacksonville, FL 32217-2116 | 2020-07-22 |
| 1871073692 | Marina Frederick | Pharmacist | 2875 University Blvd W, Jacksonville, FL 32217-2116 | 2018-08-21 |
| 1912371386 | Sheila Ann Chandler | Pharmacist | 2875 University Blvd W, Jacksonville, FL 32217-2116 | 2015-11-21 |
| 1427395128 | Matthew Tyler Ross | Pharmacist | 2875 University Blvd W, Jacksonville, FL 32217-2116 | 2013-01-15 |
| 1003153909 | Sana Principe | Pharmacist | 2875 University Blvd W, Jacksonville, FL 32217-2116 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| 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 |
|---|---|---|---|---|
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1568062131 | Matthew David Strawbridge | Pharmacist | 1335 Edgewood Ave S, Jacksonville, FL 32205-7739 | 2020-10-31 |
| 1639779036 | Jie Song | Pharmacist | 10991 San Jose Blvd, Jacksonville, FL 32223-6675 | 2020-10-27 |
| 1417564899 | Mit Manojkumar Suthar | Pharmacist | 1773 Chandelier Cir E, Jacksonville, FL 32225-5553 | 2020-09-29 |
| 1932715398 | Sena Aydogan | Pharmacist | 753 Candlebark Dr, Jacksonville, FL 32225-5321 | 2020-09-21 |
| 1780295949 | Daniel James Carr | Pharmacist | 1301 Palm Ave Ste 201, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1760093926 | Kaetlyn Parker | Pharmacist | 1301 Palm Ave Ste 210, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1316557507 | Lauren Meagan Condon | Pharmacist | 155 Bartram Market Dr, Jacksonville, FL 32259-4581 | 2020-08-03 |
| 1134746357 | Kathryn Leigh Kettler | Pharmacist | 4836 Brierwood Rd, Jacksonville, FL 32257-8027 | 2020-07-03 |
| 1902422306 | Morene Yvonne Kelly | Pharmacist | 4255 La Losa Dr, Jacksonville, FL 32217-4640 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
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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.