TERESA MARIE PONDER (NPI# 1649517657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649517657 |
| Entity Type | Individual |
| Full Name | TERESA MARIE PONDER |
| Credential | PHARM D |
| Practice Address |
1075 Oakleaf Plantation Pkwy Ste 200 Orange Park FL 32065-3624 |
| Practice Telephone | 9042915203 |
| Practice Fax Number | 9042915651 |
| Mailing Telephone | 9042915203 |
| Mailing Fax Number | 9042915651 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS35986 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851760003 | Teresa Dianne Ponder | Registered Nurse | 59 Hospital Rd, Newnan, GA 30263-1209 | 2015-09-17 |
| Street Address |
1075 OAKLEAF PLANTATION PKWY STE 200 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831397447 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1075 Oakleaf Plantation Pkwy, Ste 200, Orange Park, FL 32065-3624 | 2007-07-05 |
| 1306399126 | Laelisha Patton | Nurse Practitioner | 1075 Oakleaf Plantation Pkwy, #108, Orange Park, FL 32065-3624 | 2016-07-28 |
| 1740658954 | Tiffany Mcclain | Nurse Practitioner | 1075 Oakleaf Plantation Pkwy, Ste 108, Orange Park, FL 32065-3624 | 2015-09-03 |
| 1053658898 | Sabrina Kay Robinson | Pharmacist | 1075 Oakleaf Plantation Pkwy, Ste 200, Orange Park, FL 32065-3624 | 2013-01-14 |
| 1427359371 | Judy E Groutt Groover | Nurse Practitioner | 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3624 | 2010-11-09 |
| 1942481429 | Family First Primary Care Pa | Clinic/Center | 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3624 | 2007-11-26 |
| 1093913212 | Allison Dasta Butler | Family Medicine | 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065-3624 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| Find all providers in zip 32065 | ||||
| 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 |
|---|---|---|---|---|
| 1902456080 | Janelle Trinette Humphrey | Pharmacist | 811 Westminster Dr, Orange Park, FL 32073-5062 | 2019-09-19 |
| 1447726054 | John Tumba Tshimbalanga | Pharmacist | 638 Briar View Dr, Orange Park, FL 32065-3556 | 2018-10-22 |
| 1205386141 | Tracy Nicole Daise | Pharmacist | 3910 Buckthorne Dr Unit E, Orange Park, FL 32065-5643 | 2016-10-04 |
| 1356747919 | Sreedhar Maladi | Pharmacist | 1494 Park Ave, Orange Park, FL 32073-4908 | 2014-11-10 |
| 1003239260 | Felisha Wade | Pharmacist | 4051 Eagle Landing Pkwy, Orange Park, FL 32065-2559 | 2014-01-23 |
| 1609208503 | Joseph Shoyoye | Pharmacist | 152 Rollin Dr, Orange Park, FL 32073-2533 | 2013-08-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| 1215256938 | Ricardo Torres | Pharmacist | 1091 Oakleaf Plantation Pkwy, Orange Park, FL 32065-3623 | 2010-05-19 |
| 1245552058 | Nishant K Patel | Pharmacist | 380 Blanding Blvd, Orange Park, FL 32073-4351 | 2010-02-20 |
| 1982934964 | Mark Velo Skipper | Pharmacist | 662 Fingal Dr, Orange Park, FL 32073-4218 | 2010-01-13 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
Please comment or provide details below to improve the information on TERESA MARIE PONDER.
| 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.