DR. MARK STEPHEN MCCUISTON (NPI# 1588656490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588656490 |
| Entity Type | Individual |
| Full Name | DR. MARK STEPHEN MCCUISTON |
| Credential | PHARM.D. |
| Practice Address |
1110 Gulf Breeze Pkwy Suite 200 Mob Gulf Breeze FL 32561-4884 |
| Mailing Address |
751 Pensacola Beach Blvd 12b Pensacola Beach FL 32561-2079 |
| Practice Telephone | 8509342170 |
| Practice Fax Number | 8509342039 |
| Mailing Telephone | 8509325152 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS31721 | FL | Pharmacy Service Providers |
| Street Address |
1110 GULF BREEZE PKWY SUITE 200 MOB |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-4884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164497 | Pensacola Hospitalist Physicians, LLC | Hospitalist | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2020-11-06 |
| 1205435518 | Amanda D Davis | Nurse Practitioner | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2020-10-19 |
| 1821653122 | Cameron Daniels Tucker | Physical Therapist | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2019-05-02 |
| 1609439587 | Matthew David Stone | Speech-Language Pathologist | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2019-04-17 |
| 1619530482 | Jennifer Michelle Watson | Physical Therapist | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2019-04-17 |
| 1255994026 | Kim Patterson | Physical Therapy Assistant | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2019-04-17 |
| 1932527942 | Jack Edward Mckay | Orthopaedic Surgery | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2014-04-07 |
| 1376812032 | Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2011-12-23 |
| 1427356393 | Pensacola Emergency Physicians, LLC | Emergency Medicine | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2011-03-02 |
| 1275850901 | Seyed Mehdi Jafari | Orthopaedic Surgery | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| 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 |
|---|---|---|---|---|
| 1518230358 | Jimmy D Eubanks Jr. | Pharmacist | 1533 Oak Shore Dr, Gulf Breeze, FL 32563-2929 | 2012-02-09 |
| 1467590943 | Ronald Harris Clayton | Pharmacist | 3327 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3351 | 2007-02-05 |
| 1558978767 | Monica Nasri | Pharmacist | 1430 Tiger Park Ln, Gulf Breeze, FL 32563-5718 | 2020-09-30 |
| 1730674656 | Kathleen Rita Bertelli | Pharmacist | 3767 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3528 | 2018-06-22 |
| 1356863880 | Jacob Daniel Thompson | Pharmacist | 852 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4723 | 2017-07-17 |
| 1609229368 | Danielle Elizabeth Valcana | Pharmacist | 334 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4492 | 2016-07-18 |
| 1437546983 | Cindy Huntley | Pharmacist | 852 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4723 | 2015-04-22 |
| 1316389190 | Stephanie Jade Bushong | Pharmacist | 852 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4723 | 2013-07-22 |
| 1861730103 | Angie Flores | Pharmacist | 852 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4723 | 2013-01-22 |
| 1043557903 | Rebecca James Hines | Pharmacist | 852 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4723 | 2013-01-12 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
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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.