TRENTON MEDICAL CENTER, INC. (NPI# 1679122337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679122337 |
Entity Type | Organization |
Organization Name | TRENTON MEDICAL CENTER, INC. |
Other Organization Name | PALMS PHARMACY OF LAKE CITY WEST |
Practice Address |
4784 W Us Highway 90 Lake City FL 32055-3101 |
Mailing Address |
23343 Nw County Road 236 High Springs FL 32643-9669 |
Practice Telephone | 3864540690 |
Mailing Telephone | 3864540690 |
Enumeration Date | 2019-09-05 |
Last Update Date | 2019-11-19 |
Authorized Official Name | ANITA H. RIELS (CEO) |
Authorized Official Telephone | 3524634501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Palms Pharmacy of Lake City | Doing Business As Name - Organization |
Palms Pharmacy of Lake City West | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730587072 | Trenton Medical Center, Inc. | Clinic/Center | 2021 Professional Center Dr., Orange Park, FL 32073-4461 | 2014-12-19 |
1346723301 | Trenton Medical Center, Inc. | Pharmacy | 410 N Main St, Chiefland, FL 32626-0866 | 2018-09-14 |
1124432042 | Trenton Medical Center, Inc. | Clinic/Center | 211 Ranchera St Nw, Live Oak, FL 32064 | 2014-06-18 |
1124442355 | Trenton Medical Center, Inc. | Family Medicine | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2014-02-07 |
1588086060 | Trenton Medical Center, Inc. | Clinic/Center | 23476 W Us Highway 27, High Springs, FL 32643-2108 | 2014-01-17 |
Street Address |
4784 W US HIGHWAY 90 |
City | LAKE CITY |
State | FL |
Zip Code | 32055-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467814582 | Osayamen O Omoruyi | Family Medicine | 4784 W Us Highway 90, Lake City, FL 32055-3101 | 2016-03-28 |
1124627930 | Beth Harris Henderson | Nurse Practitioner | 4784 W Us Highway 90, Lake City, FL 32055-3101 | 2020-10-22 |
1972140358 | Trenton Medical Center, Inc | Clinic/Center | 4784 W Us Highway 90, Lake City, FL 32055-3101 | 2019-12-05 |
1811436751 | Jana Ruth Underhill | Nurse Practitioner | 4784 W Us Highway 90, Lake City, FL 32055-3101 | 2017-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
Find all providers in zip 32055 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
1801261904 | Genoa Healthcare, LLC | Pharmacy | 439 Sw Michigan St Rm 12, Lake City, FL 32025-0440 | 2015-12-01 |
1225188485 | Foster's Super Markets, Inc | Pharmacy | 5760 West Houghton Lake Road, Lake City, MI 49651-0430 | 2007-01-11 |
1679648448 | M & D Drug Co | Pharmacy | 117 E. Main St., Lake City, SC 29560 | 2006-11-21 |
1760585533 | South Carolina Cvs Pharmacy LLC | Pharmacy | 301 W Thomas St, Lake City, SC 29560 | 2006-09-07 |
1588679799 | Walgreen Co | Pharmacy | 5675 Jonesboro Rd, Lake City, GA 30260-3804 | 2006-07-29 |
1922356963 | Piggly Wiggly Lake City Inc | Pharmacy | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2012-08-23 |
1316958986 | Corner Drug Co Inc | Pharmacy | 414 Main St, Lake City, TN 37769 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
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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.