MR. SAMUEL ERWIN GOODWIN (NPI# 1679874036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679874036 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL ERWIN GOODWIN |
| Credential | MBA, CPHT |
| Practice Address |
7290 55th Ave E Bradenton FL 34203-8002 |
| Practice Telephone | 9417278412 |
| Practice Fax Number | 9417278195 |
| Mailing Telephone | 9417278412 |
| Mailing Fax Number | 9417278195 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | RPT00529 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTCB | 4701-0109-0250-425 | 01 |
| Street Address |
7290 55TH AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174563555 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 7290 55th Ave E, Bradenton, FL 34203-8002 | 2006-06-07 |
| 1245600055 | Publix Pharmacy | Public Health or Welfare | 7290 55th Ave E, Bradenton, FL 34203-8002 | 2015-10-06 |
| 1932579745 | Tiffany Ruiz | Pharmacist | 7290 55th Ave E, Bradenton, FL 34203-8002 | 2015-10-06 |
| 1952785073 | Maristel Ventura | Pharmacist | 7290 55th Ave E, Bradenton, FL 34203-8002 | 2015-07-18 |
| 1023414992 | Matthew Alan Stanek | Pharmacist | 7290 55th Ave E, Bradenton, FL 34203-8002 | 2014-11-05 |
| 1518367879 | Trish Pham | Pharmacist | 7290 55th Ave E, Bradenton, FL 34203-8002 | 2014-08-23 |
| 1639501679 | Lucas Reinhartz | Pharmacist | 7290 55th Ave E, Bradenton, FL 34203-8002 | 2013-08-01 |
| 1902143258 | Jason Besser | Pharmacist | 7290 55th Ave E, Bradenton, FL 34203-8002 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972410 | Vanessa Leigh Rene | Pharmacy Technician | 5213 4th Avenue Cir E, Bradenton, FL 34208-5622 | 2019-09-30 |
| 1194013011 | Brandie Nichole Grolemund | Pharmacy Technician | 4651 Cortez Rd W, Pharmacy, Bradenton, FL 34210-3146 | 2011-07-12 |
| 1629369152 | Paul Victor Filipowicz | Pharmacy Technician | 4651 Cortez Rd W, Bradenton, FL 34210-3146 | 2011-05-02 |
| 1770805079 | Adrian Morell | Pharmacy Technician | 9070 58th Dr E Ste 102, Bradenton, FL 34202-6110 | 2010-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820234 | Roderick John Yulo Palma | Pharmacy Technician | 10538 Sw 16th St, Pembroke Pines, FL 33025-4784 | 2020-10-28 |
| 1700408374 | Andre Spencer | Pharmacy Technician | 5400 Nw 175th St, Miami Gardens, FL 33055-3541 | 2020-05-17 |
| 1295356509 | Kahkashan Fatimah | Pharmacy Technician | 8801 Hunters Lake Dr Apt 223, Tampa, FL 33647-2850 | 2020-04-28 |
| 1649803057 | Jenisse Quintela Lozano | Pharmacy Technician | 2108 W 53rd St, Hialeah, FL 33016-2031 | 2020-02-14 |
| 1528604717 | Bianca Apollon | Pharmacy Technician | 517 Okaloosa St Unit 1, Tallahassee, FL 32310-5424 | 2019-11-21 |
| 1033750971 | Arielle Lakeita Bryant | Pharmacy Technician | 11048 N Campus Blvd, Jacksonville, FL 32218-6416 | 2019-10-02 |
| 1821639931 | Jeviel Latrish Davis | Pharmacy Technician | 1127 Caliente Dr, Jacksonville, FL 32211-8855 | 2019-10-01 |
| 1750922654 | Jowana T'pring Preston-gray | Pharmacy Technician | 8711 Newton Rd Apt 249, Jacksonville, FL 32216-7514 | 2019-10-01 |
| 1487205654 | Tiera Chisolm | Pharmacy Technician | 1704 Mary Beth Dr, Middleburg, FL 32068-7833 | 2019-09-27 |
| 1306492434 | Ashlynn Da Silva | Pharmacy Technician | 2 N Us Highway 17 92, Debary, FL 32713-2506 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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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.