MICHAEL BERGMAN (NPI# 1649516493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649516493 |
| Entity Type | Individual |
| Full Name | MICHAEL BERGMAN |
| Credential | PHARMD |
| Practice Address |
345 Jacaranda Blvd Venice FL 34292-2450 |
| Practice Telephone | 9414851216 |
| Practice Fax Number | 9414844620 |
| Mailing Telephone | 9414851216 |
| Mailing Fax Number | 9414844620 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS14427 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790225084 | Michael Bergman | Specialist | 6327 S Grand Blvd, Apt 1g, Saint Louis, MO 63111-2653 | 2017-03-06 |
| 1780090290 | Michael Bergman | Pharmacist | 201 Us Route 7 South, Milton, VT 05468 | 2014-07-03 |
| 1780694331 | Michael David Bergman | Internal Medicine | 215 Sherman Ave, Hamden, CT 06518-2125 | 2006-08-08 |
| 1164483905 | Michael I Bergman | Internal Medicine | 953 49th Street, Brooklyn, NY 11219 | 2006-03-31 |
| 1972050466 | Michael I Bergman | Counselor | 801 N. Montesano St., Westport, WA 98595 | 2016-09-01 |
| 1255608857 | Michael P Bergman | Internal Medicine | 1215 Lee St Fl 3, Charlottesville, VA 22908-0904 | 2011-11-27 |
| 1134445760 | Michael Adam Bergman | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2010-04-07 |
| 1952548307 | Michael Morgan Bergman | Nurse Practitioner | 15900 College Blvd, Ste 100, Lenexa, KS 66219-1369 | 2009-01-07 |
| 1265631014 | Michael S. Bergman | Psychologist | 901 Nueces St, Austin, TX 78701-2217 | 2007-07-12 |
| 1659437572 | Michael M Bergman | Internal Medicine | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2006-12-28 |
| Street Address |
345 JACARANDA BLVD |
| City | VENICE |
| State | FL |
| Zip Code | 34292-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1164029682 | Zachary Cellura | Pharmacist | 345 Jacaranda Blvd, Venice, FL 34292-2450 | 2020-10-07 |
| 1689061756 | Allison Hunefeld I | Pharmacist | 345 Jacaranda Blvd, Venice, FL 34292-2450 | 2015-04-16 |
| 1548505233 | Valerie Kutz | Pharmacist | 345 Jacaranda Blvd, Venice, FL 34292-2450 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| 1265512974 | Qinghong Han | Acupuncturist | 389 Commercial Court, Suite B, Venice, FL 34292 | 2006-10-17 |
| Find all providers in zip 34292 | ||||
| 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 |
|---|---|---|---|---|
| 1649800376 | Joseph A Pata | Pharmacist | 4150 S Tamiami Trl, Venice, FL 34293-5130 | 2020-01-22 |
| 1750925897 | Carlos Manuel Bravo | Pharmacist | 345 Jacaranda Cir, Venice, FL 34285-7016 | 2019-11-01 |
| 1245718543 | Sergio Daniel Eastman | Pharmacist | 4173 S Tamiami Trl, Venice, FL 34293-5111 | 2018-07-30 |
| 1164872164 | Elizabeth T Cerussi | Pharmacist | 119 Lincoln Blvd, Venice, CA 90291-2807 | 2016-06-21 |
| 1043604234 | Patricia Lynn Martinez | Pharmacist | 19876 Cobblestone Cir, Venice, FL 34292-4184 | 2015-03-25 |
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1396135273 | Maurice Campbell | Pharmacist | 458 Us Highway 41 Byp N, Venice, FL 34285-6037 | 2015-01-29 |
| 1083004402 | Hoan K Huynh Bui | Pharmacist | 138 Durian Rd, Venice, FL 34293-3213 | 2015-01-24 |
| 1871926188 | Sara Christine Ingargiola | Pharmacist | 535 Tamiami Trl S, Venice, FL 34285-2927 | 2013-08-11 |
| Find all providers in VENICE | ||||
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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.