ROBERT AUTRY (NPI# 1649690843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649690843 |
Entity Type | Individual |
Full Name | ROBERT AUTRY |
Practice Address |
395 W Madison St Starke FL 32091-3923 |
Practice Telephone | 9049647774 |
Practice Fax Number | 9049647807 |
Mailing Telephone | 9049647774 |
Mailing Fax Number | 9049647807 |
Enumeration Date | 2014-04-27 |
Last Update Date | 2014-04-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PS14414 | FL | Pharmacy Service Providers |
Street Address |
395 W MADISON ST |
City | STARKE |
State | FL |
Zip Code | 32091-3923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
1316474513 | Tracy Allen Abbott | Pharmacist | 395 W Madison St, Starke, FL 32091-3923 | 2017-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
1528670494 | Windsor Center Operations LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2020-08-20 |
Find all providers in zip 32091 |
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 |
---|---|---|---|---|
1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
1215537097 | Matthew Douglas | Pharmacist | 14500 Us Highway 301 S, Starke, FL 32091-7858 | 2020-10-29 |
1912518622 | Rohan Devang Shah | Pharmacist | 205 W Madison St, Starke, FL 32091-3921 | 2020-08-14 |
1316474513 | Tracy Allen Abbott | Pharmacist | 395 W Madison St, Starke, FL 32091-3923 | 2017-05-18 |
1699174524 | Gregory Astle | Pharmacist | 470 W Madison St, Starke, FL 32091-3926 | 2014-08-15 |
1356750368 | William Shallcross | Pharmacist | 922 E Call St, Starke, FL 32091-3616 | 2014-08-05 |
1851719207 | Dorothy Fox | Pharmacist | 922 E Call St, Starke, FL 32091-3616 | 2014-04-02 |
1215218573 | Dipti Patel | Pharmacist | 205 W Madison St, Starke, FL 32091-3921 | 2011-08-31 |
1912287434 | Amy Williams | Pharmacist | 205 W Madison St, Starke, FL 32091-3921 | 2011-08-29 |
1962783415 | Kelly Kaufman | Pharmacist | 205 W Madison St, Starke, FL 32091-3921 | 2011-08-29 |
Find all providers in STARKE |
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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.