AISTE SUDMANTAITE (NPI# 1629583422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629583422 |
| Entity Type | Individual |
| Full Name | AISTE SUDMANTAITE |
| Practice Address |
13650 Fiddlesticks Blvd Fort Myers FL 33912-0312 |
| Practice Telephone | 2397681413 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS57327 | FL | Pharmacy Service Providers |
| Street Address |
13650 FIDDLESTICKS BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-0312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215977699 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13650 Fiddlesticks Blvd, Fort Myers, FL 33912-0312 | 2006-06-07 |
| 1346872926 | Kelly Flatley | Pharmacist | 13650 Fiddlesticks Blvd, Fort Myers, FL 33912-0312 | 2020-02-11 |
| 1992042592 | Ryan E Archey | Pharmacist | 13650 Fiddlesticks Blvd, Fort Myers, FL 33912-0312 | 2013-01-16 |
| 1891032959 | Elise N Manee | Pharmacist | 13650 Fiddlesticks Blvd, Fort Myers, FL 33912-0312 | 2013-01-09 |
| 1265617286 | Fiddlesticks Dental Care | Clinic/Center | 13650 Fiddlesticks Blvd, Suite 200, Fort Myers, FL 33912-0312 | 2008-01-09 |
| 1548351950 | Devki Adi | Dentist | 13650 Fiddlesticks Blvd, Unit 200, Fort Myers, FL 33912-0312 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| 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 |
|---|---|---|---|---|
| 1871190678 | Melinda S Garner | Pharmacist | 14390 Reflection Lakes Dr, Fort Myers, FL 33907-1805 | 2020-10-05 |
| 1134766595 | Mamta Pradip Patel | Pharmacist | 9305 River Otter Dr, Fort Myers, FL 33912-8925 | 2019-12-04 |
| 1033754445 | Sherin Abraham George | Pharmacist | 15320 Sonoma Dr Apt 108, Fort Myers, FL 33908-7302 | 2019-11-08 |
| 1619512068 | Hardipsinh Gohil | Pharmacist | 14821 6 Mile Cypress Pkwy, Fort Myers, FL 33912-4467 | 2019-11-08 |
| 1417591983 | Mittal Chaudhari | Pharmacist | 9131 College Pkwy Ste 101, Fort Myers, FL 33919-4827 | 2019-10-29 |
| 1265095434 | Jon Thompson | Pharmacist | 8900 Oliveria St Apt 9703, Fort Myers, FL 33912-8992 | 2019-04-15 |
| 1447718705 | Archana Yamsani | Pharmacist | 18911 S Tamiami Trl, Fort Myers, FL 33908-4734 | 2019-03-06 |
| 1316418197 | Kellen Elayne Danley | Pharmacist | 12401 Commerce Lakes Dr Unit C, Fort Myers, FL 33913-8663 | 2018-12-05 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on AISTE SUDMANTAITE.
| 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.