MS. ANDRA M TUCKER (NPI# 1659491629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659491629 |
| Entity Type | Individual |
| Full Name | MS. ANDRA M TUCKER |
| Credential | RPH, MS |
| Practice Address |
1711 S Andrews Ave Ft Lauderdale FL 33316-2525 |
| Mailing Address |
10260 Sw 20th Ct Miramar FL 33025-1775 |
| Practice Telephone | 9544628185 |
| Practice Fax Number | 9544627927 |
| Mailing Telephone | 3057885334 |
| Mailing Fax Number | 9544501803 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 13474 | LA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PU4003 | FL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PS25645 | FL | Pharmacy Service Providers |
| Street Address |
1711 S ANDREWS AVE |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| 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 |
|---|---|---|---|---|
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1912359258 | Rogelio Lopez | Pharmacist | 1128 Ne 16th St, Ft Lauderdale, FL 33304-4853 | 2016-07-11 |
| 1982869400 | Celeste L Oatman | Pharmacist | 2701 E Oakland Park Blvd, Suite B, Ft Lauderdale, FL 33306-1651 | 2008-07-24 |
| 1801984414 | Ana L Caban | Pharmacist | 1035 Nw 9 Ave, Ft Lauderdale, FL 33311 | 2006-10-10 |
| 1720189178 | Anthony Joseph Garofali IIi | Pharmacist | 3535 Galt Ocean Dr Ste 1n, Ft Lauderdale, FL 33308-6833 | 2006-09-26 |
| 1902906134 | Michelle Gerard Magnavita | Pharmacist | 3260 Davie Blvd, Ft Lauderdale, FL 33312-2766 | 2006-09-25 |
| 1730179730 | Barry I Katz | Pharmacist | 1001 S Andrews Ave, Suite 200, Ft Lauderdale, FL 33316-1015 | 2005-10-21 |
| 1063056240 | Manuel De La Cruz | Pharmacist | 2500 W Broward Blvd, Ft Lauderdale, FL 33312-1300 | 2019-10-31 |
| 1437701794 | Briana Moe | Pharmacist | 700 Se 3rd Ave Ste 100, Ft Lauderdale, FL 33316-1154 | 2019-07-16 |
| 1609320696 | Tierra Rossin | Pharmacist | 2355 Ne 26th St, Ft Lauderdale, FL 33305-1628 | 2016-08-08 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33316 |
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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.